Individual provider Active NPI

Natalie Miller

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1982888145
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA153049 Issued in OR
Practice address
8935 SE Powell Blvd
Portland, OR 97266-1938
Phone
(503) 772-4335
Fax
(503) 772-4337
NPI assigned
Dec 24, 2007
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA153049 OR Primary

Addresses

Primary practice location

8935 SE Powell Blvd
Portland, OR 97266-1938

Mailing address

8935 SE Powell Blvd
Portland, OR 97266-1938
Phone (503) 772-4335

Other practice location 1

3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone (503) 992-0288

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmiller4879@yvfwc.direct-ci.com Direct

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
I20101215001102 OR Practitioner - Physician Assistant 2860531258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 251-6136

10151 SE Sunnyside Rd
Suite 100
Clackamas, OR 97015-5705
Phone (503) 659-0880

10201 SE Main St
Portland, OR 97216-2937

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
782AKMDMental Health Counselor
PA153049ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Aug 15, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 28, 2011 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 28, 2011 Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

595 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

10201 SE Main St
Ste 10A
Portland, OR 97216
Phone (503) 255-2186

8935 SE Powell Blvd
Portland, OR 97266
Phone (503) 349-7864

Interoperability endpoints

  • Direct secure messaging: nmiller163759@direct.ohsu.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1982888145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8935 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661938",
            "telephone_number": "503-772-4335",
            "fax_number": "503-772-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8935 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661938",
            "telephone_number": "503-772-4335",
            "fax_number": "503-772-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971162224",
            "country_code": "US",
            "telephone_number": "503-992-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA153049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmiller4879@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8935 SE Powell Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972661938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.