Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396204533 Individual Practitioner Female Practitioner

Dr. Brenda Rebecca Ikwap , MD

Surgery • Tualatin, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brenda Ikwap, MD is a certified Surgery practicing in Tualatin, OR. With approximately 7 years of clinical experience since graduating from Howard University College Of Medicine in 2019, Dr. Ikwap delivers high-quality medical care to the local community at 19250 SW 65TH AVE STE 235.

Dr. Ikwap is affiliated with The Oregon Clinic, Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

19250 Sw 65th Ave Ste 235

Tualatin, OR 970627745

Telephone 5036925650
Fax 5036927903
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tualatin, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -17.4 yrs vs City Avg
City Avg: 24.4 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Tualatin, OR (555 Statewide)

Telehealth Adoption Rate
11.1% 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. Ikwap (7 Years) 7 Yrs
Tualatin Specialty Average (24.4 Years) 24.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-19
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD221309

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2136113 (WA)
Medicaid State Provider ID
500765006 (OR)

Hospital & Practice Group Affiliations

The Oregon Clinic, Pc

19250 Sw 65th Ave, Tualatin, OR 970627745

Phone: 5036924820

The Oregon Clinic, Pc

5050 Ne Hoyt, Portland, OR 972132990

Phone: 5032396673

Secondary Practice Locations

3181 Sw Sam Jackson Park Rd

Portland, OR 972393098

Phone: 5034948211

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1104182781

Doctor of Medicine (M.D.)

NPI 1205811890

Doctor of Medicine (M.D.)

NPI 1255863544

Doctor of Medicine (M.D.)

NPI 1790760387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 19, 2024

Registered at 19250 SW 65TH AVE STE 235, TUALATIN, OR 970627745 (Tel: 5036925650)

📍
Updated Business Mailing Address August 19, 2024

Registered at 541 NE 20TH AVE STE 225, PORTLAND, OR 972322895 (Tel: 5039632801)

👤
Provider Name / Credentials Updated August 19, 2024

Recorded as BRENDA IKWAP, MD

NPI Profile Active March 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393098 (Tel: 5034948211)

📍
Updated Business Mailing Address March 18, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393098 (Tel: 5034948211)

👤
Provider Name / Credentials Updated March 18, 2019

Recorded as BRENDA IKWAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2019

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: 1396204533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2019
Last Update: December 19, 2024
Sole Proprietor: No

Mailing Address

541 Ne 20th Ave Ste 225

Portland, OR 972322895

Phone: 5039632801

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.