Active NPI
Preston Joseph Fedor, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
National Provider Identifier
1487816674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD160636
- Practice address
- 5441 S Macadam Ave
Portland, OR 97239-6106 - Phone
- (971) 245-4044
- NPI assigned
- Jun 28, 2008
- Last updated
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD160636 | OR | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD160636 | OR | Primary |
Addresses
Primary practice location
5441 S Macadam Ave
Portland, OR 97239-6106
Mailing address
5441 S Macadam Ave
Portland, OR 97239-6106
Phone (971) 245-4044
Other practice location 1
1381 S Patrick Dr Bldg 1381
Patrick AFB, FL 32925-3606
Phone (321) 494-8241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD160636 | OR | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1487816674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "971-245-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "971-245-4044"
}
],
"practiceLocations": [
{
"address_1": "1381 S Patrick Dr Bldg 1381",
"address_purpose": "LOCATION",
"city": "Patrick AFB",
"state": "FL",
"postal_code": "329253606",
"country_code": "US",
"telephone_number": "321-494-8241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDOR",
"first_name": "PRESTON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-28",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD160636",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OR",
"license": "MD160636",
"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 Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.