Organization Active NPI

Jeffrey M Levine MD LLC

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1447073028
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.