Organization Active NPI

Jules R. Altfas, M.D., P.C.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1326191396
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD09841 Issued in OR
Legal business name
JULES R. ALTFAS, M.D., P.C.
Practice address
1525 NE Weidler St Ste 101
Portland, OR 97232-1410
Phone
(503) 227-3912
NPI assigned
Jan 20, 2007
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Jules Richard Altfas, M.D.NPI 1174700348
Title
President
Phone
(503) 227-3912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD09841 OR Primary

Addresses

Primary practice location

1525 NE Weidler St Ste 101
Portland, OR 97232-1410

Mailing address

1525 NE Weidler St Ste 101
Portland, OR 97232-1410
Phone (503) 227-3912

Other identifiers 1

IdentifierTypeStateIssuer
100263MedicaidOR

National Provider Directory

National Provider Directory

Locations

2525 NW Lovejoy St
Ste 403
Portland, OR 97210
Phone (503) 227-3912

1525 NE Weidler St
Ste 101
Portland, OR 97232
Phone (503) 227-3912

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1326191396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 NE WEIDLER ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321410",
            "telephone_number": "503-227-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 NE WEIDLER ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321410",
            "telephone_number": "503-227-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULES R. ALTFAS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "ALTFAS",
        "authorized_official_first_name": "JULES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-227-3912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD09841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263",
            "state": "OR"
        }
    ],
    "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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.