LILY MAHALA CRANOR (MD) – Family Medicine Physician, NPI 1760989487
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LILY MAHALA CRANOR (MD)
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972393098
Phone: (503) 494-8211
Type: Mailing
2801, Daggett Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States
KLAMATH FALLS, OR 976017150
Phone: (541) 274-6733
Type: Location
3181 SW Sam Jackson Park Rd
Portland, OR 972393098
Phone: (503) 494-8211
Type: Location
2801 Daggett Ave
Klamath Falls, OR 976017150
Phone: (541) 274-6733
Type: Location
180 Melton Rd
Creswell, OR 974269453
Phone: (541) 222-7700
Fax: (541) 895-5426
Type: Location
35859 Highway 58
Pleasant Hill, OR 974559651
Phone: (541) 767-5200
Fax: (541) 937-1370
Type: Location
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 986838004
Phone: (360) 729-1253
Fax: (360) 729-3185
Type: Mailing
1515 VILLAGE DR STE 220
COTTAGE GROVE, OR 974249700
Phone: (541) 767-5200
Fax: (541) 767-5353
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: 2021-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20210817002673 | I | Family Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 97239)
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