Dr. Alise Chin-Shreffler, OD
Optometrist in Clackamas, OR. Individual provider (NPI-1).
NPI number1689150609
StatusActive
Last updated in NPPESNov 11, 2025
Details
- NPI
- 1689150609
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alise Chin-Shreffler
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2018
- Certification date
- Nov 11, 2025
- Last updated
- Nov 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4388ATI | OR | Yes |
| 152W00000X | Optometrist | 34189TLG | CA |
Practice location
12100 Se Stevens Ct Ste 106Clackamas, OR 97086-4707
Phone 800-813-2000
Mailing address
500 Ne Multnomah St Fl 11Portland, OR 97232-2023
Other practice locations
3600 N Interstate Ave
Portland, OR 97227-1106
Portland, OR 97227-1106
Phone 503-813-2260
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Optometrist providers in Clackamas · All 2,438 providers in Clackamas
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