Reza Kafi, MD
Dermatologist in Portland, OR
Registered providerLicense # listed (OR)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 417 Sw 117th Ave Ste 100, Portland, OR 97225
- Phone
- (503) 216-8980
- Listed under
- Individual clinicians, Telehealth (Medicare claims)
- NPI
- 1891737201
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- MD181659 (OR)
- NPI first issued
- Jun 11, 2006
- Years since NPI first issued
- 20 years (since 2006)
- License state on NPI record
- OR
- NPI record last updated
- Mar 18, 2021
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2002 (24 years ago)
- Professional school (CMS)
- University of Michigan Medical School
- Medicare group practice (CMS)
- Providence Health and Services Oregon (1,433 clinicians); Direct Dermatology Professionals PC (7 clinicians)
- Practice locations on file with Medicare (CMS)
- 3
- Other practice locations (NPPES)
- 1: San Jose, CA
- Other dermatology listings at this street address
- 2
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