Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwest IV, LLC

Organization Anesthesiology Physician · NPI 1023596541

Northwest IV, LLC is an Anesthesiology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137
Phone: (503) 447-3285
Fax: (503) 917-4971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201392160NP-PP (OR)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD22534 (OR)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1023596541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Perry — Managing Director · (503) 447-3285
Other names Evolve Health
NPI enumeratedAugust 6, 2018
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address6400 Se Lake Rd Ste 155, Portland, OR 97222-2137

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