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Active NPI 1922825009 Individual Practitioner Female Practitioner

Riley Hackley , PA-C

Physician Assistant • Lebanon, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Riley Hackley, PA-C is a certified Physician Assistant practicing in Lebanon, OR. With approximately 2 years of clinical experience since completing medical education in 2024, Riley Hackley delivers high-quality medical care to the local community at 425 N SANTIAM HWY.

Riley Hackley is affiliated with Mid-Valley Healthcare Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

425 N Santiam Hwy

Lebanon, OR 973554361

Telephone 5414516960
Associated Practice Facility / Clinic
🏢 Mid-Valley Healthcare, Inc. Facility NPI 1972869121

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lebanon, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -11.9 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Lebanon, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hackley (2 Years) 2 Yrs
Lebanon Specialty Average (13.9 Years) 13.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA222009

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License OR PA222009

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Mid-Valley Healthcare Inc

425 N Santiam Hwy, Lebanon, OR 973554361

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Heidi Blair , ARNP

Nurse Practitioner - Family

NPI 1003225525

Advanced Registered Nurse Practitioner

Dr. Gina Miller , MD

Family Medicine

NPI 1144513250

Doctor of Medicine (M.D.)

Christopher Freeman , PA

Physician Assistant

NPI 1316581572

Physician Assistant

NPI 1417264672

Doctor of Psychology (Psy.D.)

Dr. Danni Ewing , PsyD

Psychologist - Clinical

NPI 1568000313

Doctor of Psychology (Psy.D.)

NPI 1568045870

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 25, 2024

Registered at PO BOX 1189, CORVALLIS, OR 973391189

NPI Profile Active September 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2024

Registered at 425 N SANTIAM HWY, LEBANON, OR 973554361 (Tel: 5414516960)

📍
Updated Business Mailing Address September 20, 2024

Registered at 16584 NW GRAF ST, PORTLAND, OR 972297952 (Tel: 5033185742)

👤
Provider Name / Credentials Updated September 20, 2024

Recorded as RILEY HACKLEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2024

Family Medicine (License #PA222009 in OR)

🟢
Initial NPI Registration & Enumeration September 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922825009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2024
Last Update: November 25, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 1189

Corvallis, OR 973391189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.