Iris S Boston, PMHNP - Medicare Nurse Practitioner in Portland, OR

Iris S Boston, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 12360 E Burnside St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 279-4800.

Iris S Boston is licensed to practice in Oregon (license number 201405678NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265836605.

Contact Information

Iris S Boston, PMHNP
12360 E Burnside St,
Portland, OR 97233-1042
(971) 279-4800
(971) 279-2051

Map and Direction




Provider's Profile

Full NameIris S Boston
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12360 E Burnside St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265836605
  • Provider Enumeration Date: 10/14/2014
  • Last Update Date: 12/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870802457
  • Enrollment ID: I20151021002985

Medical Identifiers

Medical identifiers for Iris S Boston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265836605NPI-NPPES
2075287MedicaidWA
500683308MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201243237RN (Oregon)Secondary
163W00000XRegistered Nurse RN61337493 (Washington)Secondary
363L00000XNurse Practitioner AP61337497 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201405678NP-PP (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iris S Boston is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Iris S Boston, PMHNP
1776 Sw Madison St,
Portland, OR 97205-1715

Ph: (971) 386-2278
Iris S Boston, PMHNP
12360 E Burnside St,
Portland, OR 97233-1042

Ph: (971) 279-4800

Reviews and Comments


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