NICHOLAS BOYD JORGENSEN MD
NPI 1205322831
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Nicholas Jorgensen's NPI number?

The NPI number for Nicholas Jorgensen is 1205322831. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Q: What is Nicholas Jorgensen's specialty?

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

Active since July 06, 2018

3101 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239(503) 221-3424(503) 221-3490 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2018, Jul 6, 2018 (2 updates tracked since 2018).

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About Nicholas Boyd Jorgensen Md NPPES

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

NICHOLAS BOYD JORGENSEN MD (NPI 1205322831) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1205322831

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS BOYD JORGENSENCredential: MD

Location Address3101 SW SAM JACKSON PARK ROADPortland, OR 97239-3009

Mailing AddressPo Box 8500, Lockbox 7642, Shriners Hospitals For Children, PortlandPhiladelphia, PA 19178-7642 · (813) 281-8115 · Fax (813) 281-8656

Phone(503) 221-3424

Fax(503) 221-3490

Sole ProprietorNo

Enumeration DateJuly 6, 2018

Last NPPES UpdateSeptember 5, 20182 updates tracked since enumeration

✔ NPI 1205322831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3101 SW SAM JACKSON PARK ROAD, Portland, OR 97239

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Other Providers at the Same Location NPPES 18

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

XUAN YE MD

Student in an Organized Health Care Education/Training Program