NPIMap

Individual provider Active NPI

Jessica Porter, MD

  • Family Medicine Physician
  • Hood River, OR
National Provider Identifier
1336313782
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD176286 Issued in OR
Practice address
1750 12TH St
Hood River, OR 97031-9540
Phone
(541) 386-5070
Fax
(541) 386-7190
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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 MD176286 OR Primary

Addresses

Primary practice location

1750 12TH St
Hood River, OR 97031-9540

Mailing address

1750 12TH St
Hood River, OR 97031-9540
Phone (541) 386-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001749 OR Practitioner - Family Practice 9931409893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Columbia Gorge Medical Center PCGroup PAC ID 8628066115, 12 clinicians

Practice addresses (Care Compare)

1750 12TH St
Hood River, OR 97031-9540
Phone (541) 386-5070

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Mar 27, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 27, 2018 Accepting new patients
Columbia Gorge Medical Center PC CurrentSince Sep 1, 2016 Accepting new patients
Columbia Gorge Medical Center PC CurrentSince Sep 1, 2016 Accepting new patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations

1750 12th St
Hood River, OR 97031
Phone (541) 386-5070

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

Interoperability endpoints

  • Direct secure messaging: jporter623235@oc.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbia Gorge Family MedicineHood River, OR, CCN 383882 Rural health clinic 5% Or Greater Direct Ownership Interest (20%) Nov 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 3

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1336313782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319540",
            "telephone_number": "541-386-5070",
            "fax_number": "541-386-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319540",
            "telephone_number": "541-386-5070",
            "fax_number": "541-386-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD176286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.