Active NPI
Phillip Edward Patton, MD
- Reproductive Endocrinology Physician
- Portland, OR
National Provider Identifier
1912913401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD14787
- Practice address
- 1750 SW Harbor Way
Suite 100
Portland, OR 97201-5128 - Phone
- (503) 418-3700
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD14787 | OR | |
| Reproductive Endocrinology Physician | 207VE0102X | MD14787 | OR | Primary |
Addresses
Primary practice location
1750 SW Harbor Way
Suite 100
Portland, OR 97201-5128
Mailing address
1040 SW Ardmore Ave
Portland, OR 97205-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183152 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14787 | OR | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912913401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SW ARDMORE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 SW HARBOR WAY",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015128",
"telephone_number": "503-418-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "PHILLIP",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD14787",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "OR",
"license": "MD14787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183152",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.