James Matthew Bartruff, MD
Individual provider Active NPI Internal Medicine Physician · Portland, OR
NPI 1790793230 · NPPES record last updated Nov 12, 2014
Key facts
- NPI
- 1790793230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD18393 (OR)
- Practice address
- 1321 NE 99TH Ave
Suite 100
Portland, OR 97220-9437 - Phone
- (503) 215-9900
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD18393 | OR | Yes |
Addresses
Primary practice location
1321 NE 99TH Ave
Suite 100
Portland, OR 97220-9437
Mailing address
3135 NE Dunckley St
Portland, OR 97212-1733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072616 | Medicaid | OR |
Other providers in Portland, OR
- Robert Earl Barton
- Serena Barton
- Tara Barton
- Lindsey Bartos
- Melissa Anne Bartoszewski
- Keenan Bartscher
- Wendy Bartschi
- Colin James Bartz-Overman
- Savanah Marie Bartz
- Leah B Baruch
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 Nov 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.