Northwest IV, LLC
NPI 1023596541ActiveOrganization· Nurse Practitioner, Family· Portland, OR
Nurse Practitioner, Family in Portland, Oregon, registered in NPPES in August 2018. The authorized official on file is John Perry, Managing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023596541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2018 |
| Last updated in NPPES | Feb 5, 2026 |
| Certified by provider | Feb 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 201392160NP-PP | OR |
| Anesthesiology | 207L00000X | MD22534 | OR |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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