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

Dr. Jeffrey David Mudrick, MD

Individual provider Psychiatry Physician · NPI 1669592697

Dr. Jeffrey David Mudrick, MD is a Psychiatry in Portland, Oregon. Graduated from University of Missouri, Columbia School of Medicine in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
OR
In the registry since
2007
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

5050 NE Hoyt St Ste 522
Portland, OR 97213
Phone: (503) 236-4343
Fax: (503) 234-0271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3400 Main St, Vancouver, WA 98663-2223 — (360) 696-5232
  • 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 — (360) 514-2000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD163714 (OR)

Record details

NPI number1669592697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2007
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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