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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033601810

Dr. Derek James Pourtorkan, DO is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2916 N Kelly Ave
Edmond, OK 73003-3233
Phone: (405) 715-5300
Fax: (405) 715-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6732 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033601810
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555

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