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

Jody L Pettit, MD

Individual provider Internal Medicine Physician · NPI 1063447100

Jody L Pettit, MD is an Internal Medicine in Portland, Oregon. Graduated from Virginia Commonwealth University, School of Medicine in 1994, 32 years ago. Practices with Portland Clinic, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
32
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
OR
In the registry since
2006
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

800 SW 13th Ave
Portland, OR 97205-1902
Phone: (503) 221-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD20585 (OR)

Record details

NPI number1063447100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 21, 2022
Certification dateNovember 17, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Portland Clinic — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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