John Alferes Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Portland, OR
NPI 1679680805 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1679680805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OR MD13486 (OR)
- Practice address
- 3550 N Interstate Ave
Portland, OR 97227-1196 - Phone
- (503) 285-9321
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080102000476 | OR | Practitioner - Internal Medicine | 6103906243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD13486 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current |
Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
3550 N Interstate Ave
Ofc
Portland, OR 97227
Phone (503) 285-9321
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OR MD13486 | OR | Yes |
Addresses
Primary practice location
3550 N Interstate Ave
Portland, OR 97227-1196
Mailing address
3440 SW 14TH Ave
Portland, OR 97239-1414
Phone (503) 222-6696
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Northwest Permanente PC |
Other providers in Portland, OR
- Alexandra Dahm DDS LLC
- Rose-Yvenie Alexandre
- Alexis Lessard-Templin, LCSW, LLC
- Junior Alexis
- Roberto Antonio Alfaro
- Victoria Isabel Alferez-Dickerson
- Mariah Alford
- Vanessa Alger
- Hattan Abdullah Alghamdi
- Adriel Lewis Algiene
All providers in Portland, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.