Active NPI
Eugene Uphoff, M.D.
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1134110299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD08613
- Practice address
- 541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862 - Phone
- (503) 233-6940
- Fax
- (503) 236-2676
- NPI assigned
- Oct 28, 2005
- Last updated
- Sep 26, 2011
- 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 | MD08613 | OR | Primary |
Addresses
Primary practice location
541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862
Mailing address
541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862
Phone (503) 233-6940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Clinic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Portland, OR
- NPI 1508857657
-
dba Roger E. Alberty, M.D. Surgical Center
- Ambulatory Surgical Clinic/Center
- Tigard, OR
- NPI 1508040486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1134110299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE",
"address_2": "SUITE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322862",
"telephone_number": "503-233-6940",
"fax_number": "503-236-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE",
"address_2": "SUITE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322862",
"telephone_number": "503-233-6940",
"fax_number": "503-236-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPHOFF",
"first_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD08613",
"primary": true
}
],
"identifiers": [],
"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 Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.