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DR. DEJAN MILORAD DORDEVICH M.D. NPI 1407905037


NPI Information

NPI: 1407905037
Provider Name: DR. DEJAN MILORAD DORDEVICH, M.D.
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

Address:
545 NE 47TH AVE STE 301
PORTLAND, OR
ZIP 97213
Phone: (503) 231-7622
Get Directions

DR. Dejan Milorad Dordevich, M.D. is an allergy and immunology internal medicine in Portland, OR. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Dejan Milorad Dordevich, M.D. NPI is 1407905037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

545 NE 47TH AVE STE 301
PORTLAND, OR
ZIP 97213-287
Phone: (503) 231-7622

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0201XInternal MedicineAllergy & ImmunologyMD10741OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M0000BHSVMMEDICARE ID-TYPE UNSPECIFIEDOREGON
2263046MEDICAIDOREGON
3B18216MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.