Active NPIIndividual provider

Dr. Omoregie P Aideyman, MD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI Number1578364527
Practice location
3181 SW Sam Jackson Park RD, Portland, OR 97239-3098
Fax
—
Last updated
March 24, 2025

Dr. Omoregie P Aideyman, MD is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Dr. Omoregie P Aideyman, MD holds the professional credentials of MD. The NPI number for Dr. Omoregie P Aideyman, MD is 1578364527. The current practice location address is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3098 and the office can be reached by phone at 503-494-8211. The NPI was assigned on March 24, 2025 and the record was last updated in NPPES on March 24, 2025.

●Provider Profile Details

NPI Number
1578364527
Provider Name
Omoregie Peter Aideyman
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
March 24, 2025
Last Update Date
March 24, 2025
Certification Date
March 24, 2025
NPI Status
Active

◉Business Practice Location Address

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3098
State
Oregon
ZIP
97239-3098
Country
US
Phone Number
503-494-8211

Get directions →

✉Business Mailing Address

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3098
City
Portland
State
OR
ZIP
97239-3098
Phone Number
503-494-8211

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

☉Other providers near Portland, OR

View all providers in Portland →

?Frequently Asked Questions

What is the NPI number of Dr. Omoregie P Aideyman, MD?

The NPI number of Dr. Omoregie P Aideyman, MD is 1578364527. It was assigned on March 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Omoregie P Aideyman, MD?

Dr. Omoregie P Aideyman, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Dr. Omoregie P Aideyman, MD practice?

The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3098. The office can be reached at 503-494-8211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578364527 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

Browse related providers