Individual provider Active NPI

Karen L Swenson, D.O.

  • Family Medicine Physician
  • Gresham, OR
National Provider Identifier
1992019947
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO151460 Issued in OR
Practice address
24988 SE Stark St Ste 220
Gresham, OR 97030-8324
Phone
(503) 674-1580
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A14141 CA
Family Medicine Physician 207Q00000X DO151460 OR Primary

Addresses

Primary practice location

24988 SE Stark St Ste 220
Gresham, OR 97030-8324

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188

Other practice location 2

36350 Church Rd
Campo, CA 91906-2715
Phone (619) 445-1188

Other practice location 3

531 N Highway 101 Ste A
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

Other practice location 4

4507 SW Coast Ave
Lincoln City, OR 97367-1528
Phone (541) 222-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kswensonagency236252@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101111000185 OR Practitioner - Family Practice 5294920690 Reassigns benefits to 3 organizations
I20140417000679 TX Practitioner - Family Practice 5294920690 Reassigns benefits to 1 organization
I20151208001616 CA Practitioner - Family Practice 5294920690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Corvallis Clinic P CGroup PAC ID 1456244540, 128 clinicians

Practice addresses (Care Compare)

633 N Albany Rd NW
Albany, OR 97321-1433
Phone (541) 754-1150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14141CAMDFamily Medicine Physician
DO151460ORMDFamily Medicine Physician
14141CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Mar 10, 2014 Accepting new patients
Shingle Springs Rancheria CurrentSince Oct 27, 2015 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Mar 10, 2014 Accepting new patients
The Corvallis Clinic P C CurrentSince Apr 14, 2025 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Jan 6, 2025 Accepting new patients

Locations

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24988 SE Stark St
Ste 220
Gresham, OR 97030
Phone (503) 674-1580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4

Organizations & group practices 8

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1992019947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24988 SE STARK ST STE 220",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308324",
            "telephone_number": "503-674-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4058 Willows Rd",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "CA",
            "postal_code": "919011668",
            "country_code": "US",
            "telephone_number": "619-445-1188",
            "fax_number": "619-659-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36350 Church Rd",
            "address_purpose": "LOCATION",
            "city": "Campo",
            "state": "CA",
            "postal_code": "919062715",
            "country_code": "US",
            "telephone_number": "619-445-1188",
            "fax_number": "619-478-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 N Highway 101 Ste A",
            "address_purpose": "LOCATION",
            "city": "Depoe Bay",
            "state": "OR",
            "postal_code": "973419572",
            "country_code": "US",
            "telephone_number": "541-765-3265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4507 SW Coast Ave",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973671528",
            "country_code": "US",
            "telephone_number": "541-222-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14141",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO151460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kswensonagency236252@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "531 N Highway 101 Ste A",
            "city": "Depoe Bay",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973419572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.