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

Adam Blaine Penrose, MD

Individual provider Psychiatry Physician · NPI 1861133092

Adam Blaine Penrose, MD is a Psychiatry in Portland, Oregon. Qualified in 2022, 4 years ago. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone: (503) 944-8000
Fax: (503) 944-8017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD224428 (OR)

Record details

NPI number1861133092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2022
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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