NPIMap

Individual provider Active NPI

Ian Michael Horner, D.O.

  • Family Medicine Physician
  • Tigard, OR
National Provider Identifier
1902245756
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO173201 Issued in OR
Practice address
12442 SW Scholls Ferry Rd Ste 206
Tigard, OR 97223-0804
Phone
(503) 216-9200
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO173201 OR Primary

Addresses

Primary practice location

12442 SW Scholls Ferry Rd Ste 206
Tigard, OR 97223-0804

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

9450 SW Barnes Rd Ste 100
Portland, OR 97225-6642
Phone (503) 292-9560

Other identifiers 1

IdentifierTypeStateIssuer
500691200MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ihorner5799@direct.theportlandclinic.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021003179 OR Practitioner - Family Practice 2264676154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

12442 SW Scholls Ferry Rd
Suite 206
Tigard, OR 97223-0804
Phone (503) 216-9200

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Feb 24, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Jan 2, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 24, 2025 Accepting new patients
Providence Health & Services - Oregon Family Medicine Past Accepting new patients

Locations

15950 SW Millikan Way
Beaverton, OR 97003
Phone (503) 646-0161

800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161

9450 SW Barnes Rd
Ste 100
Portland, OR 97225
Phone (503) 292-9560

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

12442 SW Scholls Ferry Rd
Ste 206
Tigard, OR 97223
Phone (503) 216-9200

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

Interoperability endpoints

  • Direct secure messaging: ian.horner.p1@direct.grandronde.nextgenshare.com
  • Direct secure messaging: ihorner5799@direct.theportlandclinic.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1902245756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12442 SW SCHOLLS FERRY RD STE 206",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230804",
            "telephone_number": "503-216-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9450 SW Barnes Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256642",
            "country_code": "US",
            "telephone_number": "503-292-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "IAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO173201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691200",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ihorner5799@direct.theportlandclinic.net",
            "affiliation": "N",
            "address_1": "15950 SW Millikan Way",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970035170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.