Individual provider Active NPI

Jesse William Loughlin, MD

  • Emergency Medicine Physician
  • Astoria, OR
National Provider Identifier
1114555786
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD219726 Issued in OR
Practice address
2111 Exchange St
Astoria, OR 97103-3329
Phone
(503) 325-4321
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X MD61642041 WA
Emergency Medicine Physician 207P00000X MD219726 OR Primary

Addresses

Primary practice location

2111 Exchange St
Astoria, OR 97103-3329

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone (503) 494-8211

Other practice location 2

700 NE 87th Ave Ste 120
Vancouver, WA 98664-4896
Phone (360) 882-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OR, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230606001692 MA Practitioner - Sports MedicinePractitioner - Emergency Medicine 8820455967 Reassigns benefits to 6 organizations
I20240801003054 OR Practitioner - Emergency Medicine 8820455967 Reassigns benefits to 2 organizations
I20250130001655 WA Practitioner - Sports Medicine 8820455967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Massachusetts Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS Current Accepting new patients
Portland Adventist Medical Center Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Columbia Lutheran Charities CurrentSince Sep 1, 2024 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Jul 1, 2023 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Jul 1, 2023 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Children'S Sports Medicine Foundation Inc. Sports Medicine CurrentSince Mar 1, 2026 Accepting new patients
Portland Adventist Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Columbia Lutheran Charities CurrentSince Sep 1, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Mar 11, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Mar 11, 2025 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jul 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jul 1, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2023 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

910 Washington St
Dedham, MA 02026
Phone (781) 431-1333

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

700 NE 87th Ave
Ste 120
Vancouver, WA 98664

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: jloughlin200386@direct.ohsu.edu
  • Direct secure messaging: jloughlin33981@direct.bostonchildrens.org
  • Direct secure messaging: jloughlin26224@tvc-direct.org
  • Direct secure messaging: jloughlin66800@direct.southcoast.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1114555786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393098",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 NE 87th Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986644896",
            "country_code": "US",
            "telephone_number": "360-882-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "JESSE",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "WA",
            "license": "MD61642041",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD219726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.