Jeffrey Feldes, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000004107 Issued in OR

Practice address

7916 SE Foster Rd Ste 201
Portland, OR 97206-4289

Phone

(503) 465-2749

NPI assigned

Sep 30, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bridgestochange/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridges to Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1770365413

  Peer Specialist

  NPD
• Bridges to Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1326410986
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1023625233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16576",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920576",
            "telephone_number": "274-950-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 SE FOSTER RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064289",
            "telephone_number": "503-465-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDES",
        "first_name": "JEFFREY",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000004107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Delinn Feist, M.S.
• Gabriel David Feit, LMT
• Jaymee Fejes
• Maya Fela
• Kimberly Kay Felder, PA-C
• Daniel Abraham Feldman, MD
• Paul Joel Feldman
• Paula Joan Feldman, M.S.W., CADC II
• Peter Feldman, M.D.
• Diana Terry Feldstein, MD

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.