Jules Richard Altfas, M.D.
Individual provider Active NPI Psychiatry Physician · Portland, OR
NPI 1174700348 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1174700348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD09841 (OR)
- Practice address
- 1525 NE Weidler St
Portland, OR 97232-1410 - Phone
- (503) 227-3912
- NPI assigned
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD09841 | OR | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD09841 | OR | Yes |
Addresses
Primary practice location
1525 NE Weidler St
Portland, OR 97232-1410
Mailing address
1525 NE Weidler St
Ste 101
Portland, OR 97232-1410
Phone (503) 227-3912
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100263 | Medicaid | OR |
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All providers in Portland, OR · Psychiatry Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.