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

Jeffrey Sun, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457743296

Jeffrey Sun, DO is a Family Practice in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2015
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

417 SW 117th Ave Ste 200
Portland, OR 97225-5924
Phone: (503) 216-1800
Fax: (503) 216-1810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 — (503) 513-8950

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO195226 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457743296
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 3, 2015
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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