Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portland Adventist Medical Center

Organization Emergency Medicine Physician · NPI 1750091021

Portland Adventist Medical Center is an Emergency Medicine Physician in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
15

Practice location Address checks out

10201 SE Main St Ste 10A
Portland, OR 97216-2937
Phone: (503) 261-6970
Fax: (503) 255-2194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X
Radiation Oncology Physician Taxonomy 2085R0001X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1750091021
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPortland Adventist Medical Center
Authorized official Jason Panasuk — Finance Officer · (503) 261-4405
Other names Adventist Health Medical Group; Adventist Health Medical Group
NPI enumeratedNovember 28, 2022
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing addressPo Box 888928, Los Angeles, CA 90088-8928

Other providers in Portland