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

Otuodita E Ejiasa, MD

Individual provider Family Medicine Physician · NPI 1720220791

Otuodita E Ejiasa, MD is a Family Practice in Oregon City, Oregon. Graduated from University of Pittsburgh School of Medicine in 2009, 17 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
17
Trained at
University of Pittsburgh School of Medicine
Licensed in
OR
In the registry since
2009
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

728 Molalla Ave
Oregon City, OR 97045-2799
Phone: (503) 656-9030
Fax: (503) 656-9026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD156940 (OR)

Record details

NPI number1720220791
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2009
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address7320 Sw Hunziker Rd Ste 300, Portland, OR 97223-2302

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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