Active NPI
Joseph Mohr, PA-C
- Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA213685
- Practice address
- 25 NW 23Rd PL
Portland, OR 97210-5580 - Phone
- (503) 305-6262
- NPI assigned
- Sep 19, 2022
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA213685 | OR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
25 NW 23Rd PL
Portland, OR 97210-5580
Mailing address
16100 SW Century Dr Apt 166
Sherwood, OR 97140-6221
Phone (562) 756-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1071 SE Tualatin Valley Hwy
Hillsboro, OR 97123-5069
Phone (503) 305-6262
11675 SW Pacific Hwy
Tigard, OR 97223-8672
Phone (503) 305-6262
11786 NW Cedar Falls Dr
Suite 120
Portland, OR 97229-2787
Phone (503) 305-6262
14278 SW Allen Blvd
Beaverton, OR 97005-4405
Phone (503) 305-6262
397 Warner Milne Rd
Oregon City, OR 97045-4045
Phone (503) 305-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Past | Accepting new patients | |
| Uptown Providers PC | Past | Accepting new patients | |
| Uptown Providers PC | Past | Accepting new patients |
Locations
14278 SW Allen Blvd
Beaverton, OR 97005
1071 SE Tualatin Valley Hwy
Hillsboro, OR 97123
397 Warner Milne Rd
Oregon City, OR 97045
6633 NE Sandy Blvd
Portland, OR 97213
11675 SW Pacific Hwy
Tigard, OR 97223
8060 SW Pfaffle St
Ste 106
Tigard, OR 97223
180 NE 192nd Ave
Ste 505
Vancouver, WA 98684
7500 NE 117th Ave
Vancouver, WA 98662
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Portland, OR
- NPI 1144598293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1922720747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 SW CENTURY DR APT 166",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971406221",
"telephone_number": "562-756-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NW 23RD PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105580",
"telephone_number": "503-305-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA213685",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.