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

Derick Rene Du Vivier, MD

Individual provider Anesthesiology Physician · NPI 1235167024

Derick Rene Du Vivier, MD is an Anesthesiology in Portland, Oregon. Graduated from Emory University School of Medicine in 1998, 28 years ago. Practices with University Anesthesiology Associates LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
28
Trained at
Emory University School of Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3181 SW Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7641
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 24146 (OR)

Record details

NPI number1235167024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 13, 2016

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice University Anesthesiology Associates Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland