Individual provider Active NPI

Kara Laure Pattinson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Portland, OR
National Provider Identifier
1982652475
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD24243 Issued in OR
Practice address
1506 SW Sam Jackson Park Road,
DC7P
Portland, OR 97239-3098
Phone
(503) 418-5457
Fax
(503) 418-5774
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD24243 OR Primary

Addresses

Primary practice location

1506 SW Sam Jackson Park Road,
DC7P
Portland, OR 97239-3098

Mailing address

1506 SW Spring Garden St
Portland, OR 97219-4283
Phone (503) 892-9373

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000165 OR Practitioner - Psychiatry 3678526985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oakland College of Medicine and Surgery, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Counseling SolutionsGroup PAC ID 0446484885, 31 clinicians

Practice addresses (Care Compare)

550 W Sperry St
Heppner, OR 97836-2060
Phone (541) 676-9161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24243ORMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Current Accepting new patients
Community Counseling Solutions Current Accepting new patients
Community Counseling Solutions CurrentSince Mar 23, 2021 Accepting new patients
Firstcare Medical Foundation Past Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients

Locations

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1982652475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 SW SPRING GARDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194283",
            "telephone_number": "503-892-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 SW SAM JACKSON PARK ROAD,",
            "address_2": "DC7P",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-418-5457",
            "fax_number": "503-418-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTINSON",
        "first_name": "KARA",
        "middle_name": "LAURE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD24243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.