Active NPI
Tedd Levin, M.D.
- Public Health & General Preventive Medicine Physician
- Portland, OR
National Provider Identifier
1598744971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 14616
- Practice address
- 5919 SE Belmont St
Portland, OR 97215-1925 - Phone
- (503) 234-7366
- Fax
- (503) 234-8928
- NPI assigned
- Jan 13, 2006
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 14616 | OR | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 14616 | OR | Primary |
Addresses
Primary practice location
5919 SE Belmont St
Portland, OR 97215-1925
Mailing address
32302 SE Oxbow Dr
Gresham, OR 97080-8954
Phone (503) 663-5590
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 |
|---|---|---|---|
| 14616 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Tabor Family Medical Group, PC | Past | Accepting new patients | |
| Mt. Tabor Family Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-Pharmacy Dispensing Site
- Portland, OR
- NPI 1548416944
-
- Clinic/Center
- Portland, OR
- NPI 1659468080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598744971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32302 SE OXBOW DR",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970808954",
"telephone_number": "503-663-5590",
"fax_number": "503-234-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5919 SE BELMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151925",
"telephone_number": "503-234-7366",
"fax_number": "503-234-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "TEDD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "OR",
"license": "14616",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OR",
"license": "14616",
"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 Jul 13, 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.