Individual provider Active NPI

Christina Vieru, PA-C

  • Gynecologic Oncology Physician
  • Tigard, OR
National Provider Identifier
1992335848
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
PA195567 Issued in OR
Practice address
12123 SW 69TH Ave
Tigard, OR 97223-8514
Phone
(971) 708-7600
Fax
(971) 371-5230
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X PA195567 OR Primary

Addresses

Primary practice location

12123 SW 69TH Ave
Tigard, OR 97223-8514

Mailing address

1498 SE Tech Center PL Ste 240
Vancouver, WA 98683-5508
Phone (360) 597-1313

Other practice location 1

265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223

Other practice location 2

210 SE 136th Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200423000544 OR Practitioner - Physician Assistant 6709216336 Reassigns benefits to 1 organization
I20200508001706 WA Practitioner - Physician Assistant 6709216336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Cancer Specialists PCGroup PAC ID 8426943838, 70 clinicians

Practice addresses (Care Compare)

12123 SW 69TH Ave
Tigard, OR 97223-8514
Phone (971) 708-7600

210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889

265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA195567ORMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cancer Specialists PC Gynecologic Oncology CurrentSince Mar 1, 2020 Accepting new patients
Northwest Cancer Specialists PC CurrentSince Mar 1, 2020 Accepting new patients

Locations

12535 SE 82nd Ave
Happy Valley, OR 97015
Phone (503) 915-9174

265 N Broadway
Portland, OR 97227
Phone (503) 280-1223

12123 SW 69th Ave
Tigard, OR 97223
Phone (971) 708-7600

1498 SE Tech Center Pl
Ste 240
Vancouver, WA 98683
Phone (360) 597-1309

210 SE 136th Ave
Vancouver, WA 98684
Phone (360) 944-9889

Interoperability endpoints

  • Direct secure messaging: cvieru154883@direct.ohsu.edu
  • Direct secure messaging: christina.vieru@compass.ikm.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1992335848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835508",
            "telephone_number": "360-597-1313",
            "fax_number": "360-597-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 SW 69TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238514",
            "telephone_number": "971-708-7600",
            "fax_number": "971-371-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271800",
            "country_code": "US",
            "telephone_number": "503-280-1223",
            "fax_number": "503-528-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 SE 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846930",
            "country_code": "US",
            "telephone_number": "360-944-9889",
            "fax_number": "360-944-9686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERU",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OR",
            "license": "PA195567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.