OrganizationActive
Northwest IV, LLC
NPI 1811600471 · Family Nurse Practitioner · Beaverton, OR
Provider details
- NPI number
- 1811600471
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Perry, Managing Director(503) 447-3285
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16100 Nw Cornell Rd Ste 190
Beaverton, OR 97006-8104
Phone: (714) 055-9609
Fax: (971) 405-5961
Approximate (ZIP-level) locationGet directions
Mailing address
6400 Se Lake Rd Ste 155
Portland, OR 97222-2137
Other names (DBA / former)
- Doing business as
- Evolve Health
- Doing business as
- Evolve Health
Registry dates
- Enumerated
- 2022-12-28
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.