Active NPI
Anna Fehm Blake, RN
- Nurse Practitioner
- Canby, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10049425
- Practice address
- 345 N Grant St
Canby, OR 97013-3610 - Phone
- (503) 266-2066
- NPI assigned
- Nov 16, 2023
- Last updated
- May 7, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10049425 | OR | Primary |
| Registered Nurse | 163W00000X | 201805042RN | OR |
Addresses
Primary practice location
345 N Grant St
Canby, OR 97013-3610
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
16770 SW Edy Rd Ste 102
Sherwood, OR 97140-9679
Phone (503) 216-9600
Other practice location 2
2647 NE 33rd Ave
Portland, OR 97212-3647
Phone (503) 288-0083
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
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2647 NE 33Rd Ave
Portland, OR 97212-3647
Phone (503) 288-0083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201805042RN | OR | MD | Registered Nurse |
| 10049425 | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Healthcare Resources, LLC | Current | Accepting new patients | |
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
345 N Grant St
Canby, OR 97013
Phone (503) 266-2066
2647 NE 33rd Ave
Portland, OR 97212
Phone (503) 288-0083
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Organizations & group practices 2
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.
-
dba Oregon Medical Group
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
-
dba Oregon Medical Group Urgent Care
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1215761002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1922873330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N GRANT ST",
"city": "CANBY",
"state": "OR",
"postal_code": "970133610",
"telephone_number": "503-266-2066"
}
],
"practiceLocations": [
{
"address_1": "16770 SW Edy Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "OR",
"postal_code": "971409679",
"country_code": "US",
"telephone_number": "503-216-9600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2647 NE 33rd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972123647",
"country_code": "US",
"telephone_number": "503-288-0083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKE",
"first_name": "ANNA",
"middle_name": "FEHM",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "10049425",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201805042RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.