Individual provider Active NPI

Beth Ann Riley, MD

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1922108489
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD19781 Issued in OR
Practice address
1040 NW 22ND Ave Ste 330
Portland, OR 97210-3097
Phone
(503) 274-9936
Fax
(503) 274-2660
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD19781 OR Primary

Addresses

Primary practice location

1040 NW 22ND Ave Ste 330
Portland, OR 97210-3097

Mailing address

1040 NW 22ND Ave Ste 330
Portland, OR 97210-3097
Phone (503) 274-9936

Other practice location 1

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone (503) 643-7565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Stanford University School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1040 NW 22ND Ave
Suite 330
Portland, OR 97210-3097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Women'S Health, P.C. Obstetrics & Gynecology CurrentSince Mar 25, 2018 Accepting new patients

Locations

1040 NW 22nd Ave
Ste 330
Portland, OR 97210
Phone (503) 274-0993

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1922108489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103097",
            "telephone_number": "503-274-9936",
            "fax_number": "503-274-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103097",
            "telephone_number": "503-274-9936",
            "fax_number": "503-274-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 SW Western Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053460",
            "country_code": "US",
            "telephone_number": "503-643-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD19781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.