Laura Bliss
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Portland, OR
NPI 1902347263 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1902347263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- MD217421 (OR)
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-5856
- Fax
- (503) 494-2370
- NPI assigned
- Mar 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Washington University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Professional Services
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824001794 | OR | Practitioner - Neurology | 5799148763 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Hospital District | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| University Professional Services | Past | Accepting new patients | |
| Oregon Health & Science University | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Interoperability endpoints
- lbliss164131@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | MD217421 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD217421 | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-5856
Other practice location 1
4949 W Pine Blvd
Apt 3A
Saint Louis, MO 63108-1431
Phone (951) 662-5527
Other providers in Portland, OR
- Bliss Center Inc
- Bliss Lactation, LLC
- Annelise Bliss
- Jillian Darcy Bliss
- Kya Bliss
- Matthew Michael Bliziotes
- Blkjade. Mental Wellness, LLC.
- Andrea Bloch
- Isaac Woods Bloch
- Pamela Jean Bloch
All providers in Portland, OR · Neurology with Special Qualifications in Child Neurology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.