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

Dr. Charles Kristian Enestvedt, MD

Individual provider Transplant Surgery Physician · NPI 1962612283

Dr. Charles Kristian Enestvedt, MD is a General Surgery in Portland, Oregon. Graduated from Northwestern University Feinberg Medical School in 2003, 23 years ago. Practices with University Professional Services, a 1,704-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
23
Trained at
Northwestern University Feinberg Medical School
Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd Dept OF Surgical Oncology L619
Portland, OR 97239-3011
Phone: (503) 494-8592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X · Licence MD151458 (OR)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence MD151458 (OR)

Record details

NPI number1962612283
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 21, 2010

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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