OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati – Community/Retail Pharmacy, NPI 1114164381
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
MAIL CODE: CR 9-4
PORTLAND, OR 972393011
Phone: (503) 494-8007
Fax: (503) 494-5094
Type: Mailing
OHSU Beaverton, 15700, Southwest Greystone Court, Nike Philip H. Knight Campus, Mortondale, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97006, United States
BEAVERTON, OR 970066011
Phone: (971) 262-9110
Fax: (971) 262-9364
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (51 days away).
Enrollment records
1
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110202000595 | O | Pharmacy | OR | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 52 | 52 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 44 | 44 | $0 |
| G0008 | Administration of influenza virus vaccine | 44 | 44 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 40 | 40 | $0 |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 29 | 29 | $0 |
Insurance plans in this area (ZIP 97239)
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