Individual provider Active NPI

Joseph Mohr, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1922720747
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA213685 Issued in OR
Practice address
25 NW 23Rd PL
Portland, OR 97210-5580
Phone
(503) 305-6262
NPI assigned
Sep 19, 2022
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209000742 OR Practitioner - Physician Assistant 6901278472 Reassigns benefits to 1 organization

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
Uptown Providers PCGroup PAC ID 4284891243, 43 clinicians

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

OrganizationSpecialtyStatusNew patients
Uptown Providers PC CurrentSince Jan 20, 2023 Accepting new patients
Uptown Providers PC CurrentSince Jan 20, 2023 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.

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

Verify at the official NPI Registry.