PORTLAND DIABETES & ENDOCRINOLOGY – NPI #1942419569
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

PORTLAND DIABETES & ENDOCRINOLOGY is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1942419569 to PORTLAND DIABETES & ENDOCRINOLOGY on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was last updated on Nov 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORTLAND DIABETES & ENDOCRINOLOGY below.

NPI Profile for
PORTLAND DIABETES & ENDOCRINOLOGY

NPI Number
1942419569
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTLAND DIABETES & ENDOCRINOLOGY
Primary location
9135 SW BARNES RD STE 985
PORTLAND, OR 97225-6699
Phone: (503) 297-3336 Fax: (503) 297-3338
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD BERGSTROM
PRESIDENT
Phone: (503) 274-4884
Updated
Certification Date
Nov 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PORTLAND DIABETES & ENDOCRINOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR151316
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1066.1
Content Type
CSV
Affiliation
Y
Endpoint Location
8215 W 108TH TER,
OVERLAND PARK, KS 77025-1669

Endpoint
www.pdec.org
Endpoint type
Other URL
Endpoint Description
WEBSITE
Content Type
CSV
Affiliation
N
Endpoint Location
9135 SW BARNES RD STE 985,
PORTLAND, OR 77025-1669