Active NPI
Jeffrey Irving Menashe, M.D.
- Hematology & Oncology Physician
- Portland, OR
National Provider Identifier
1871596551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD15990
- Practice address
- 5050 NE Hoyt St
Ste 256
Portland, OR 97213-2982 - Phone
- (503) 239-7767
- Fax
- (503) 215-6897
- NPI assigned
- May 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD15990 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St
Ste 256
Portland, OR 97213-2982
Mailing address
5050 NE Hoyt St
Ste 256
Portland, OR 97213-2982
Phone (503) 239-7767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021098 | Medicaid | WA | |
| 081083 | Medicaid | OR |
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
Interoperability endpoints
- jeffrey.menashe@compass.ikm.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1871596551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST",
"address_2": "STE 256",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132982",
"telephone_number": "503-239-7767",
"fax_number": "503-215-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST",
"address_2": "STE 256",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132982",
"telephone_number": "503-239-7767",
"fax_number": "503-215-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENASHE",
"first_name": "JEFFREY",
"middle_name": "IRVING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD15990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021098",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081083",
"state": "OR"
}
],
"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 Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.