JORDAN DIETRICH MD
NPI 1255081345
Psychiatry & Neurology - Psychiatry in Portland, OR
About Jordan Dietrich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN DIETRICH MD (NPI 1255081345) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD229584) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Dietrich Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
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 Jordan Dietrich's NPI number?
The NPI number for Jordan Dietrich is 1255081345. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Jordan Dietrich located?
Jordan Dietrich practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (800) 813-2000.
What is Jordan Dietrich's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jordan Dietrich enrolled in Medicare?
Yes. Jordan Dietrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jordan Dietrich was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.
# Jordan Dietrich, MD · NPI 1255081345
Psychiatry physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1255081345 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD229584 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3550 N INTERSTATE AVE, Portland, OR 97227-1196
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255081345) · Data from the CMS NPPES public registry.