ELIJAH JONATHAN HORESH MD MPH
NPI 1063109403
Dermatology in Portland, OR
About Elijah Jonathan Horesh Md Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIJAH JONATHAN HORESH MD MPH (NPI 1063109403) is an individual dermatology provider in Portland, Oregon, licensed in Oregon (PG227313) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elijah Jonathan Horesh Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elijah Horesh's NPI number?
The NPI number for Elijah Horesh is 1063109403. It was assigned to this individual provider in the NPPES registry on April 18, 2023.
Where is Elijah Horesh located?
Elijah Horesh practices at 3303 S Bond Ave # Ch16d, Portland, OR 97239. The listed phone number is (503) 494-1375.
What is Elijah Horesh's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Elijah Horesh enrolled in Medicare?
Yes. Elijah Horesh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elijah Horesh was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.