Individual provider Active NPI

Jeffrey Michael Woldrich, M.D.

  • Urology Physician
  • Vancouver, WA
National Provider Identifier
1992960660
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD70031294 Issued in WA
Practice address
13898 NE 28TH St
Vancouver, WA 98682-8844
Phone
(360) 882-2778
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD70031294 WA Primary
Urology Physician 208800000X MD179794 OR
Urology Physician 208800000X 163360 MT

Addresses

Primary practice location

13898 NE 28TH St
Vancouver, WA 98682-8844

Mailing address

13898 NE 28TH St
Vancouver, WA 98682-8844
Phone (360) 882-2778

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwoldrich7862@direct.theportlandclinic.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170213000622 OR Practitioner - Urology 7214188853 Reassigns benefits to 2 organizations
I20251015001635 MT Practitioner - Urology 7214188853 Reassigns benefits to 1 organization
I20260601000333 WA Practitioner - Urology 7214188853

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, San Diego School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians
Portland ClinicGroup PAC ID 8224942867, 93 clinicians

Practice addresses (Care Compare)

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

9250 SW Hall Blvd
Tigard, OR 97223-6721
Phone (503) 293-0161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health Current Accepting new patients
Salem Health CurrentSince Feb 18, 2025 Accepting new patients
Portland Clinic CurrentSince Dec 14, 2016 Accepting new patients
Portland Clinic Urology CurrentSince Dec 14, 2016 Accepting new patients
Great Falls Clinic LLC CurrentSince Nov 3, 2025 Accepting new patients
Salem Health CurrentSince Feb 18, 2025 Accepting new patients
The Portland Clinic Laboratory Current Accepting new patients

Locations

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

15950 SW Millikan Way
Beaverton, OR 97003
Phone (503) 646-0161

800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161

5005 NE Sandy Blvd
Portland, OR 97213
Phone (503) 233-6940

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161

Interoperability endpoints

  • Direct secure messaging: jwoldrich399482@direct.salemhealth.org
  • Direct secure messaging: jwoldrich31890@theportlandclinic.gardenplot.direct-ci.com
  • Direct secure messaging: jwoldrich7862@direct.theportlandclinic.net
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.woldrich.1@25095.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 7

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1992960660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13898 NE 28TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828844",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13898 NE 28TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828844",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDRICH",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD70031294",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD179794",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "163360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwoldrich7862@direct.theportlandclinic.net",
            "affiliation": "N",
            "address_1": "800 SW 13th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972051902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.