Active NPI
Jeffrey M Levine MD LLC
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1447073028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JEFFREY M LEVINE MD LLC
- Practice address
- 10200 SW Eastridge St Ste 220
Portland, OR 97225-5029 - Phone
- (971) 291-2662
- Fax
- (503) 954-3420
- NPI assigned
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Mark Levine, MD
- Title
- MD/Owner
- Phone
- (971) 291-2662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10200 SW Eastridge St Ste 220
Portland, OR 97225-5029
Mailing address
10200 SW Eastridge St Ste 220
Portland, OR 97225-5029
Phone (971) 291-2662
National Provider Directory
National Provider DirectoryLocations
10200 SW Eastridge St
Ste 220
Portland, OR 97225
Phone (971) 291-2662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1447073028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 SW EASTRIDGE ST STE 220",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255029",
"telephone_number": "971-291-2662",
"fax_number": "503-954-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SW EASTRIDGE ST STE 220",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255029",
"telephone_number": "971-291-2662",
"fax_number": "503-954-3420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M LEVINE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "971-291-2662",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.