Jihad Ghandour
Internal Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1114656204
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1114656204
- Entity type
- Individual (NPI-1)
- Name
- Jihad Ghandour
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD174247 | OR | Yes |
Practice location
9629 Nw Silver Ridge LoopPortland, OR 97229-8453
Phone 503-367-0123
Mailing address
9629 Nw Silver Ridge LoopPortland, OR 97229-8453
Phone 503-367-0123
Is something wrong?
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