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

Brent Fivecoat

Individual provider Registered Nurse · NPI 1578927414

Brent Fivecoat is a Nurse Practitioner in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Oklahoma, Oregon and Washington.

Years since qualifying
10
Licensed in
OK, OR, WA
In the registry since
2016
Specialties on file
6
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Practice location Address checks out

8935 SE Powell Blvd
Portland, OR 97266-1938
Phone: (503) 772-4335
Fax: (503) 772-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 201808083NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 102193 (OK)
Nurse Practitioner Taxonomy 363L00000X · Licence 201806384RN (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence RN60908911 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60909960 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 102193 (OK)

Record details

NPI number1578927414
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address8935 Se Powell Blvd, Portland, OR 97266-1938

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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