Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN EGDORF, DPM
DeactivatedJOHN EGDORF, DPM is a Student (Health Education/Training) healthcare provider located in PORTLAND, Oregon. NPI 1013640648 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · PORTLAND, OR
This NPI has been deactivated.
The record was deactivated on March 20, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1013640648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2022 (0.71780821917808 yrs)
- Last Updated
- Jun 24, 2023
- Deactivated
- Mar 20, 2023
- License
-
PG216238 (OR)
Practice Information
- Address
-
1015 NW 22ND AVEPORTLAND, OR, 972103025Browse OR providers · Browse ZIP 97210
- Phone
- 5034138401
- Fax
- 5034137361
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DUANE ANSEL DUEY | ATC-R | 1275597460 |
| MS. ALISON CAMILLE PERRY | M.S. | 1528155801 |
| MS. KATHERIN THOMSON VAN DOREN | MA COUNSELING ART TX | 1780730705 |
| ROBERT D SHINNEY | STUDENT | 1164578522 |
| MS. DENISE MICHELE MCGRATH | — | 1154467983 |
| MISUZU YUASA | M.D. | 1861533978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.