NPIMap

Individual provider Active NPI

Granthem T Farr, DO

  • Pulmonary Disease Physician
  • Portland, OR
National Provider Identifier
1912298696
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DO185757 Issued in OR
Practice address
1111 NE 99TH Ave Ste 200
Portland, OR 97220
Phone
(503) 963-3030
Fax
(503) 963-3140
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X DO185757 OR Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DO185757 OR

Addresses

Primary practice location

1111 NE 99TH Ave Ste 200
Portland, OR 97220

Mailing address

541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801

Other identifiers 2

IdentifierTypeStateIssuer
2098782MedicaidWA
500743783MedicaidOR

Other names 1

  • Grant T Farr Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cc_otoc_pulmonology_east_front_desk12223302@oc.providencedirect.org The Oregon Clinic PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140929001348 VA Practitioner - Internal Medicine 9638318892 Reassigns benefits to 1 organization
I20180731003970 OR Practitioner - Pulmonary Disease 9638318892 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Oregon Clinic, PCGroup PAC ID 2860390408, 353 clinicians

Practice addresses (Care Compare)

1111 NE 99TH Ave
Portland, OR 97220-9442

200 S Hazel Dell Way
Suite 210
Canby, OR 97013-7828
Phone (503) 263-9550

4805 NE Glisan
Portland, OR 97213-2933

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as group
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
84.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Jul 13, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2018 Accepting new patients
The Oregon Clinic PC Critical Care Medicine CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 13, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 6, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2018 Accepting new patients
Vibra Physicians LLC CurrentSince Jan 20, 2018 Accepting new patients
The Oregon Clinic, PC CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients

Locations

5 E River Park Pl E
Ste 460
Fresno, CA 93720

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1111 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 216-5435

847 NE 19th Ave
Ste 300
Portland, OR 97232

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

Interoperability endpoints

  • Direct secure messaging: gfarr953859@oc.providencedirect.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1912298696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322895",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NE 99TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-963-3030",
            "fax_number": "503-963-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "GRANTHEM",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "DO185757",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "DO185757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098782",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500743783",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cc_otoc_pulmonology_east_front_desk12223302@oc.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "1111 NE 99th Ave Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRANT",
            "last_name": "FARR",
            "middle_name": "T",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.