Individual provider Active NPI

Micah Laurence Thorp, DO

  • Nephrology Physician
  • Milwaukie, OR
National Provider Identifier
1912010893
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO20155 Issued in OR
Practice address
6902 SE Lake Rd
Milwaukie, OR 97267-2148
Phone
(503) 232-4465
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OP00001659 WA
Nephrology Physician 207RN0300X DO20155 OR Primary

Addresses

Primary practice location

6902 SE Lake Rd
Milwaukie, OR 97267-2148

Mailing address

6902 SE Lake Rd
Milwaukie, OR 97267-2148
Phone (503) 232-4465

Other practice location 1

54771 McKenzie Hwy
Blue River, OR 97413-9790
Phone (541) 822-3341

Other practice location 2

24934 Fir Grove Ln
Elmira, OR 97437-9751
Phone (541) 234-3255

Other practice location 3

535 NE 6th Ave
Estacada, OR 97023-9312
Phone (503) 630-8550

Other practice location 4

47815 Highway 58
Oakridge, OR 97463-9572
Phone (541) 782-8403

Other identifiers 1

IdentifierTypeStateIssuer
288472MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071231000281 OR Practitioner - Nephrology 6608956842 Reassigns benefits to 3 organizations
I20100202000831 WA Practitioner - Nephrology 6608956842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

24461 E Welches Rd
Welches, OR 97067-7067
Phone (971) 333-0494

2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (800) 813-2000

37400 Bell St
Sandy, OR 97055-7868
Phone (971) 220-2701

6902 SE Lake Rd
Suite 100
Milwaukie, OR 97267-2148
Phone (800) 813-2000

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone (800) 813-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO20155ORMDNephrology Physician
OP00001659WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, PC CurrentSince Sep 18, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 10, 2000 Accepting new patients
Orchid Oakridge Clinic, P.C. CurrentSince Sep 18, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 10, 2000 Accepting new patients
Permanente Health Care Ventures, PC CurrentSince Jul 19, 2019 Accepting new patients
Orchid Oakridge Clinic, P.C. Current Accepting new patients
Orchid Oakridge Clinic, PC PastSince Jul 1, 2023 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

24934 Fir Grove Ln
Elmira, OR 97437
Phone (541) 234-3255

535 NE 6th Ave
Estacada, OR 97023
Phone (503) 630-8550

6902 SE Lake Rd
Ste 100
Portland, OR 97267
Phone (503) 774-3350

401 NE 19th Ave
Ste 200
Portland, OR 97232
Phone (206) 554-1900

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: micah.thorp.1@31614.direct.athenahealth.com
  • Direct secure messaging: micah.thorp.1@26776.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1912010893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672148",
            "telephone_number": "503-232-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672148",
            "telephone_number": "503-232-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54771 McKenzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue River",
            "state": "OR",
            "postal_code": "974139790",
            "country_code": "US",
            "telephone_number": "541-822-3341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24934 Fir Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "OR",
            "postal_code": "974379751",
            "country_code": "US",
            "telephone_number": "541-234-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 NE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Estacada",
            "state": "OR",
            "postal_code": "970239312",
            "country_code": "US",
            "telephone_number": "503-630-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47815 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Oakridge",
            "state": "OR",
            "postal_code": "974639572",
            "country_code": "US",
            "telephone_number": "541-782-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORP",
        "first_name": "MICAH",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "OP00001659",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "DO20155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288472",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6902 SE Lake Rd",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972672148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.