Individual provider Active NPI

Linda Ijeoma Okereke, MD

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
National Provider Identifier
1104964915
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD27705 Issued in OR
Practice address
3600 N Interstate Ave Ofc
Portland, OR 97227-1106
Phone
(503) 813-4756
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 19935 ND
Physical Medicine & Rehabilitation Physician 208100000X MD27705 OR Primary

Addresses

Primary practice location

3600 N Interstate Ave Ofc
Portland, OR 97227-1106

Mailing address

612 NE Monroe St
Portland, OR 97212-3156
Phone (646) 320-7438

Other practice location 1

200 NE Mother Joseph Pl Ste 110
Vancouver, WA 98664-3293
Phone (360) 254-6161

Other practice location 2

14795 SW Murray Scholls Dr Ste 109
Beaverton, OR 97007-9230
Phone (503) 906-4301 ext. 4301

Other practice location 3

11782 SW Barnes Rd
Suite 300
Portland, OR 97225-5914
Phone (503) 214-5200

Other identifiers 1

IdentifierTypeStateIssuer
MD27705OtherOROREGON MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080218000484 OR Practitioner - Physical Medicine and Rehabilitation 8022191725 Reassigns benefits to 3 organizations
I20230804003139 ND Practitioner - Physical Medicine and Rehabilitation 8022191725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Surgical Specialists PCGroup PAC ID 4183527153, 118 clinicians
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

1 N Ctr Court St
110 Rebound Sports Medicine
Portland, OR 97227-2104
Phone (503) 732-6863

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

3500 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000

3550 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000

414 N 7TH St
Bismarck, ND 58501-4423
Phone (701) 323-6815

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone (800) 813-2000

Hospital & facility affiliations

  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19935NDMDPhysical Medicine & Rehabilitation Physician
MD27705ORMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Surgical Specialists PC CurrentSince Dec 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
Nerve and Pain Institute LLC CurrentSince Sep 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 26, 2022 Accepting new patients
Northwest Surgical Specialists, P.C. CurrentSince Dec 1, 2025 Accepting new patients
J and D Physical Therapy Services Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

4811 Meadows Rd
Ste 101
Lake Oswego, OR 97035
Phone (503) 635-2323

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863

3600 N Interstate Ave
Ofc
Portland, OR 97227
Phone (503) 285-9321

1 N Center Court St
Ste 110
Portland, OR 97227
Phone (503) 732-6863

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

11930 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 639-1712

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145

200 NE Mother Joseph Pl
Ste 110
Vancouver, WA 98664
Phone (360) 256-8584

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1104964915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 NE MONROE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123156",
            "telephone_number": "646-320-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N INTERSTATE AVE OFC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271106",
            "telephone_number": "503-813-4756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NE Mother Joseph Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643293",
            "country_code": "US",
            "telephone_number": "360-254-6161",
            "fax_number": "360-803-0847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14795 SW Murray Scholls Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970079230",
            "country_code": "US",
            "telephone_number": "503-906-4301 x4301",
            "fax_number": "503-906-6613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11782 SW Barnes Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255914",
            "country_code": "US",
            "telephone_number": "503-214-5200",
            "fax_number": "503-906-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEREKE",
        "first_name": "LINDA",
        "middle_name": "IJEOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ND",
            "license": "19935",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD27705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICENSE",
            "identifier": "MD27705",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.