IndividualActive
Otuodita Ejiasa, M.D.
NPI 1720220791 · Family Medicine Physician · Oregon City, OR
Provider details
- NPI number
- 1720220791
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD156940 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% 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
728 Molalla Ave
Oregon City, OR 97045-2799
Phone: (503) 656-9030
Fax: (503) 656-9026
Street-level locationGet directions
Mailing address
7320 Sw Hunziker Rd Ste 300
Portland, OR 97223-2302
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2020-08-04
- Certified
- 2020-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.