Individual provider Active NPI

Jennifer H Murray, MD

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1982614970
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD21344 Issued in OR
Practice address
1130 NW 22ND Ave
Ste 520
Portland, OR 97210-2976
Phone
(503) 274-4800
Fax
(503) 274-4917
NPI assigned
Aug 9, 2006
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD21344 OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave
Ste 520
Portland, OR 97210-2976

Mailing address

1130 NW 22ND Ave
Ste 520
Portland, OR 97210-2976
Phone (503) 274-4800

Other identifiers 1

IdentifierTypeStateIssuer
134053MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000411 OR Practitioner - Obstetrics/Gynecology 4385779321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sellwood Medical Clinic PCGroup PAC ID 3274526868, 6 clinicians

Practice addresses (Care Compare)

8332 SE 13TH Ave
Portland, OR 97202-7102
Phone (503) 595-9300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21344ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sellwood Medical Clinic PC CurrentSince Jun 6, 2023 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

8332 SE 13th Ave
Portland, OR 97202
Phone (503) 595-9300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.murray.1@3083.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1982614970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102976",
            "telephone_number": "503-274-4800",
            "fax_number": "503-274-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102976",
            "telephone_number": "503-274-4800",
            "fax_number": "503-274-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD21344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134053",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.