Durairaj Jagajeevanram, M.D

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

LL17049 Issued in OR

Practice address

3181 SW Sam Jackson Park Road
Suite 2360, Sam Jackson Hall
Portland, OR 97239

Phone

(503) 494-9000

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1659565042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16828 NW GREYHAWK DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067478",
            "telephone_number": "503-488-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK ROAD",
            "address_2": "SUITE 2360, SAM JACKSON HALL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGAJEEVANRAM",
        "first_name": "DURAIRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OR",
            "license": "LL17049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Jaffas
• Arthur Cherny Jaffe, MD
• Kathleen Balazy Jaffe, M.D., MPH
• Irum M Jaffri
• Mubeen Jafri, MD
• Benjamin Jager
• Amanda Jagerman
• Jennifer G. Jagger Kaeser, CNM
• Suzanne Michele Jagger, CRNA
• Phillipa Courtnay Spencer Jagla

• Orthopaedic Surgery of the Spine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Orthopaedic Surgery of the Spine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.