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

Jason Michael Polder, MD

Individual provider Diagnostic Radiology Physician · NPI 1144751470

Jason Michael Polder, MD is an Interventional Radiology in Portland, Oregon. Graduated from Ohio State University College of Medicine in 2017, 9 years ago. Practices with Trg, LLC, a 34-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Trained at
Ohio State University College of Medicine
Licensed in
OR
In the registry since
2017
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

9205 SW Barnes Rd Ste 150
Portland, OR 97225-6603
Phone: (503) 216-4830
Fax: (503) 216-4850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 219506 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 219503 (OR)

Record details

NPI number1144751470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Trg, Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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