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Contact Information

JEREMY C PORTER, MD
707 SW WASHINGTON ST STE 700
PORTLAND, OR97205
 Phone: 503-299-9906
 Fax: 503-225-9002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JEREMY C PORTER · (Male)

NPI Number 1255758207
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2014
Last updated 10/18/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD186508
  • OR Medicaid 500745613
Hospital affiliation(s)
  • LEGACY EMANUEL MEDICAL CENTER - (Acute Care)
    2801 N GANTENBEIN AVENUE
    PORTLAND, OR 97227
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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