Individual provider Active NPI

Anna Fehm Blake, RN

  • Nurse Practitioner
  • Canby, OR
National Provider Identifier
1922873330
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10049425 Issued in OR
Practice address
345 N Grant St
Canby, OR 97013-3610
Phone
(503) 266-2066
NPI assigned
Nov 16, 2023
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008004131 OR Practitioner - Nurse Practitioner 6002313731 Reassigns benefits to 1 organization

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
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

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

LicenseStateTypeSpecialty
201805042RNORMDRegistered Nurse
10049425ORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Oct 1, 2025 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.