Active NPI
Jaleh Miko Rahimi, M.D.
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1235542622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD184080
- Practice address
- 1321 NE 99TH Ave Ste 200
Portland, OR 97220-9439 - Phone
- (503) 215-4250
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML 60470557 | WA | |
| Family Medicine Physician | 207Q00000X | MD184080 | OR | Primary |
Addresses
Primary practice location
1321 NE 99TH Ave Ste 200
Portland, OR 97220-9439
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
100 E 33rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 514-7560
Other names 1
- Jaleh M Olson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jolson802171@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 1, 2025 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML 60470557 | WA | MD | Family Medicine Physician |
Interoperability endpoints
- jaleh.rahimi@1006982169886724.direct.elationemr.com
- jolson802171@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1235542622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 NE 99TH AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209439",
"telephone_number": "503-215-4250"
}
],
"practiceLocations": [
{
"address_1": "100 E 33rd St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632776",
"country_code": "US",
"telephone_number": "360-514-7560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHIMI",
"first_name": "JALEH",
"middle_name": "MIKO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML 60470557",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD184080",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jolson802171@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1321 NE 99th Ave Ste 200",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972209439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JALEH",
"last_name": "OLSON",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 14, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.