Orchid Health- McKenzie River Clinic – Family Medicine Physician, NPI 1417098773
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Orchid Health- McKenzie River Clinic
51730 Dexter St
Blue River, OR 974139776
Phone: (541) 822-3341
Type: Location
24461 E Welches Rd
Welches, OR 970677067
Phone: (971) 333-0494
Type: Location
4555 N WILLIAMS AVE
PORTLAND, OR 97217
Phone: (541) 822-3341
Fax: (541) 822-3836
Type: Mailing
51730 DEXTER ST
BLUE RIVER, OR 97413
Phone: (541) 822-3341
Fax: (541) 822-3836
Type: Location
PO BOX 546
GRESHAM, OR 970300132
Phone: (503) 782-8242
Fax: (503) 862-5060
Type: Mailing
37400 BELL ST
SANDY, OR 970557868
Phone: (971) 220-2701
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (319 days ago).
Enrollment records
1
Earliest due date
2025-07-31
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 |
|---|---|---|---|---|
| O20200228000357 | O | Rural Health Clinic | OR | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97413)
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