Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN D. DESAUTELS, MD
ActiveOphthalmology · PORTLAND, OR
Registration Details
- NPI Number
- 1114506714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2021 (5.0706635631672 yrs)
- Last Updated
- Jul 15, 2025
- Licenses
-
12974670-1205 (UT)MD224548 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034943000
- Fax
- 5034944286
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH K DONOHUE | MD | 1316941917 |
| DR. IRVIN LEWIS HANDELMAN | M.D. | 1124022587 |
| DR. MARK ANTHONY PETERS | M.D. | 1346245586 |
| DR. RICHARD FREDERICK DREYER | M.D. | 1255336491 |
| DR. GILBERT C CHILD | MD | 1205838877 |
| DR. MARTIN J BALISH | MD | 1548262173 |
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.