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

Mr. Jeremiah Lee Eldred, APRN

Individual provider Family Nurse Practitioner · NPI 1700016698

Mr. Jeremiah Lee Eldred, APRN is a Nurse Practitioner in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with Riverside Family Clinic, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana and Oregon.

Years since qualifying
16
Licensed in
MT, OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1350 NE 122nd Ave
Portland, OR 97230-2011
Phone: (503) 408-7008
Fax: (503) 408-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 831 Nw Council Dr Ste 145, Gresham, OR 97030-3795 — (503) 666-6717

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201150192NP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN39486 (MT)

Record details

NPI number1700016698
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 25, 2009
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Riverside Family Clinic — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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