Retina Northwest P.C.

Public-record details

Address

5440 Sw Westgate Dr Ste 217, Portland, OR 97221

Phone

(503) 274-2121

Listed under

Ophthalmology practices, Retina (by name), Medicare-enrolled groups (CMS)

NPI

1104813781

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Ophthalmology (207W00000X)

License number on NPI record

02670693 (OR)

NPI first issued

Sep 29, 2005

Years since NPI first issued

21 years (since 2005)

License state on NPI record

OR

NPI record last updated

May 11, 2023

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Retina Northwest PC

Clinicians in the Medicare group (all specialties, CMS)

6

Optometrists and ophthalmologists in the group at this ZIP (CMS)

6

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Other practice locations (NPPES)

4: Vancouver, WA; Portland, OR; Lake Oswego, OR

NPI 1104813781 is active in the federal NPPES registry (CMS) with Ophthalmology as its self-reported primary taxonomy; license 02670693 (OR) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. Ophthalmologists are physicians (MD or DO) who diagnose and treat eye disease and perform eye surgery. Verify a surgeon's license with the state medical board and board certification with the American Board of Ophthalmology.

View NPI 1104813781 in the official registry ↗