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

Jennifer Rodriguez, MD

Individual provider Internal Medicine Physician · NPI 1104318419

Jennifer Rodriguez, MD is an Internal Medicine in Gresham, Oregon. Graduated from University of Miami, Lm Miller School of Medicine in 2018, 8 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
8
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL, OR
In the registry since
2018
Specialties on file
4
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

25050 SE Stark St
Gresham, OR 97030-3327
Phone: (503) 674-1848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7800 Sheridan St Ste 367, Pembroke Pines, FL 33024-2536 — (954) 962-9650
  • 3303 S Bond Ave, Portland, OR 97239-4501 — (503) 494-4373

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD210968 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD210968 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 149570 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104318419
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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