Andrew Jonathan Dorfman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G72918 Issued in CA

Practice address

720 NW 14TH Ave
No. 417
Portland, OR 97209-2792

Phone

(541) 944-6770

NPI assigned

Mar 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Andrew J Dorfman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1487895892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28457",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972288400",
            "telephone_number": "541-708-7005",
            "fax_number": "541-708-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 NW 14TH AVE",
            "address_2": "NO. 417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092792",
            "telephone_number": "541-944-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "ANDREW",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "153293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "DORFMAN",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shirin Doratotaj, MD
• Sandy Dorau
• Dejan Milorad Dordevich, M.D.
• Megan Dorenkamp
• Athena C. Dorey, LCSW
• Lee E. Dorfman, DO, MS
• Denise Dorgan-Miller, C.O.T.A./L.
• Kathryne Elizabeth Doria, FNP
• Andrew Scott Dorie
• Doris Okoli DNP LLC

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.