Active NPI
Deane C De Fontes, MD
- Family Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MC24712
- Practice address
- 426 SW Stark St
8TH Floor
Portland, OR 97204-2347 - Phone
- (503) 988-3674
- Fax
- (503) 988-3142
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MC24712 | OR | Primary |
Addresses
Primary practice location
426 SW Stark St
8TH Floor
Portland, OR 97204-2347
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400
Other practice location 1
720 SE Washington St
Hillsboro, OR 97123-4230
Phone (503) 648-0753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022959 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Un of California, Irvine, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12710 SE Division
Mid County Health Center
Portland, OR 97236-3134
Phone (503) 988-3601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC24712 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| Coda, Inc. | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Coda, Inc. | Current | Accepting new patients |
Locations
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
1027 E Burnside St
Portland, OR 97214
12710 SE Division St
Portland, OR 97236
Phone (503) 988-3410
Interoperability endpoints
- ddefontes7491@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
- Substance Abuse Rehabilitation Facility
- Portland, OR
- NPI 1437213865
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Seaside, OR
- NPI 1750912184
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1114050754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141328",
"telephone_number": "503-239-8400",
"fax_number": "503-239-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 SW STARK ST",
"address_2": "8TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042347",
"telephone_number": "503-988-3674",
"fax_number": "503-988-3142"
}
],
"practiceLocations": [
{
"address_1": "720 SE Washington St",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971234230",
"country_code": "US",
"telephone_number": "503-648-0753",
"fax_number": "503-648-0755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE FONTES",
"first_name": "DEANE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MC24712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.