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

Jordan D. Desautels, MD

Individual provider Ophthalmology Physician · NPI 1114506714

Jordan D. Desautels, MD is an Ophthalmology in Portland, Oregon. Graduated from Warren Alpert Medical School of Brown University in 2021, 5 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
5
Trained at
Warren Alpert Medical School of Brown University
Licensed in
OR, UT
In the registry since
2021
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-3000
Fax: (503) 494-4286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD224548 (OR)
Ophthalmology Physician Taxonomy 207W00000X · Licence 12974670-1205 (UT)

Record details

NPI number1114506714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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