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

Colton Jordon-Michael Hafeman, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1639643943

Colton Jordon-Michael Hafeman, DNP, FNP-BC is a Nurse Practitioner in Tigard, Oregon. Qualified in 2020, 6 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2019
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone: (503) 245-2415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 C Ave, Lake Oswego, OR 97034-2353 — (503) 905-9006

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202007873NP-PP (OR)

Record details

NPI number1639643943
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 20, 2019
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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