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

Jacob R Hodge, MD

Individual provider Diagnostic Radiology Physician · NPI 1811158256

Jacob R Hodge, MD is a Diagnostic Radiology in Portland, Oregon. Graduated from University of Minnesota Medical School in 2008, 18 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
18
Trained at
University of Minnesota Medical School
Licensed in
MN, OR
In the registry since
2008
Specialties on file
3
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
Portland, OR 97239-3011
Phone: (503) 418-0990
Show map & directions

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

Additional practice locations (3)

  • 4801 W 81st St Ste 108, Bloomington, MN 55437-1111 — (952) 837-9700
  • 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 — (763) 780-9155
  • 250 Thompson St, Saint Paul, MN 55102-2370 — (651) 292-2000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD218008 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 104519 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 52240 (MN)

Record details

NPI number1811158256
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2008
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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