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

Adrian Olaf Banerji

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336602929

Adrian Olaf Banerji is a Pediatric Medicine in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Legacy Emanuel Hospital and Health Center, a 233-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 501 N Graham St Ste 355, Portland, OR 97227-2005 — (503) 413-3926
  • 700 Sw Campus Dr, Portland, OR 97239-3107 — (617) 653-4777

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence MD224799 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)

Record details

NPI number1336602929
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Emanuel Hospital And Health Center — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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