IndividualActive
Jeff Wakeham
NPI 1467631374 · Specialist · Gresham, OR
Jeff Wakeham is a Specialist provider in Gresham, OR (NPI 1467631374).
Provider details
- NPI number
- 1467631374
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4101 Ne Division St
Suite # 100
Gresham, OR 97030-4617
Phone: (503) 666-3808
Fax: (503) 666-6835
Street-level locationGet directions
Mailing address
7540 Charolais Ct
Gladstone, OR 97027-1259
Registry dates
- Enumerated
- 2007-10-26
- Last updated
- 2007-10-26
Frequently asked questions
- What is Jeff Wakeham's NPI number?
- Jeff Wakeham's National Provider Identifier (NPI) is 1467631374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeff Wakeham's specialty?
- Jeff Wakeham is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jeff Wakeham located?
- Jeff Wakeham's practice location on file with NPPES is 4101 Ne Division St, Gresham, OR 97030-4617.
- What is Jeff Wakeham's phone number?
- The practice phone number listed in the NPPES registry for Jeff Wakeham is (503) 666-3808.
- Is Jeff Wakeham's NPI active?
- Yes — Jeff Wakeham's NPI (1467631374) is active in the NPPES registry as of the last update on 2007-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.