IndividualActive
Jeffrey Dodge
NPI 1104587328 · Case Manager/Care Coordinator · Portland, OR
Provider details
- NPI number
- 1104587328
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3036 Ne Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 889-2500
Street-level locationGet directions
Mailing address
80 Se Madison St Ste 242
Portland, OR 97214-4527
Additional practice locations (1)
- 80 Se Madison St Ste 242Portland, OR 97214-4527Phone: (503) 208-6009
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.