Active NPI
Dahra Perkins MD PC
- Family Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DAHRA PERKINS MD PC
- Practice address
- 2230 NW Pettygrove St Ste 110
Portland, OR 97210-2659 - Phone
- (503) 227-0350
- Fax
- (503) 227-0745
- NPI assigned
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dahra Diane Perkins, M.D.
- Title
- Owner
- Phone
- (503) 227-0350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2230 NW Pettygrove St Ste 110
Portland, OR 97210-2659
Mailing address
2230 NW Pettygrove St Ste 110
Portland, OR 97210-2659
Phone (503) 227-0350
Other names 1
- Elevate Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2113264 | Dahra Perkins MD PC | Certificate of waiver | May 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
2050 NW Lovejoy St
Portland, OR 97209
Phone (503) 227-0350
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Portland, OR
- NPI 1275753121
-
- Psychologist
- Portland, OR
- NPI 1164512943
-
- Physician Assistant
- Portland, OR
- NPI 1073555306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1124429329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-227-0350",
"fax_number": "503-227-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-227-0350",
"fax_number": "503-227-0745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAHRA PERKINS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "DAHRA",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-227-0350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elevate Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.