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JORGE RIVERA MD
NPI 1114592565
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since May 26, 2021PECOS Enrolled
700 SW CAMPUS DR, PORTLAND, OR 97239(971) 284-8337 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, May 26, 2021 (2 updates tracked since 2021).

About Jorge Rivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE RIVERA MD (NPI 1114592565) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114592565
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORGE RIVERACredential: MD
Location Address700 SW CAMPUS DRPortland, OR 97239-3107
Mailing Address700 Sw Campus DrPortland, OR 97239-3107 · (971) 284-8337
Phone(971) 284-8337
Sole ProprietorNo
Enumeration DateMay 26, 2021
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1114592565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD225029 (OR)
700 SW CAMPUS DR, Portland, OR 97239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Rivera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. APRIL D MITSCH RD
Dietitian, Registered
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 494-8362
ASHLEY AMBER LY OTD, OTD/L
Occupational Therapist (Pediatrics)
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 406-0640
LEIANA LYNN DE LA PAZ
Psychologist (Clinical Child & Adolescent)
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 346-0640
MICHELLE FALCONE MD
Student in an Organized Health Care Education/Training Program
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 418-5700
ISATOU SYLLA
Community Health Worker
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 418-5700
DR. KATHERINE E STRIBLING DPT
Physical Therapist
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 418-5458
NICOLE MARIE FASSIOTTO
Physical Therapist
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 494-3151
TRISTAN MAKI OTR/L
Occupational Therapist (Pediatrics)
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Jorge Rivera's NPI number?

The NPI number for Jorge Rivera is 1114592565. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Jorge Rivera located?

Jorge Rivera practices at 700 SW Campus Dr, Portland, OR 97239. The listed phone number is (971) 284-8337.

What is Jorge Rivera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jorge Rivera enrolled in Medicare?

Yes. Jorge Rivera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jorge Rivera was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.