Individual provider Active NPI

Dahra Perkins, MD

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1275753121
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28557 Issued in OR
Practice address
2230 NW Pettygrove St Ste 110
Portland, OR 97210-2659
Phone
(503) 227-0350
Fax
(503) 227-0745
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD28557 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000173 OR Practitioner - Family Practice 3274601737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dahra Perkins MD PCGroup PAC ID 7214248129, 2 clinicians

Practice addresses (Care Compare)

2230 NW Pettygrove St
Suite 110
Portland, OR 97210-2659
Phone (503) 227-0350

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28557ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dahra Perkins MD PC Family Medicine CurrentSince Feb 25, 2015 Accepting new patients

Locations

2050 NW Lovejoy St
Ste 1
Portland, OR 97209
Phone (503) 227-0350

2230 NW Pettygrove St
Ste 110
Portland, OR 97210
Phone (503) 224-4804

Interoperability endpoints

  • Direct secure messaging: dahra.perkins.1@14979.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1275753121",
    "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": {
        "last_name": "PERKINS",
        "first_name": "DAHRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD28557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.