Jon Michael Hanifin, MD - Dermatology in Portland, OR

Jon Michael Hanifin, MD is a Dermatology physician based in Portland, Oregon. Jon Michael Hanifin is licensed to practice in Oregon (license number MD08045) and his current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 418-3376.

NPI number for Jon Michael Hanifin is 1336157882 and his current mailing address is 4108 Sw Greenleaf Ct, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336157882.

Contact Information

Jon Michael Hanifin, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 418-3376
Not Available



Physician's Profile

Full NameJon Michael Hanifin
GenderMale
SpecialityDermatology
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336157882
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jon Michael Hanifin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336157882NPI-NPPES
083782MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD08045 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Michael Hanifin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jon Michael Hanifin, MD
4108 Sw Greenleaf Ct,
Portland, OR 97221-3215

Ph: () -
Jon Michael Hanifin, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-3376

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› Verified 3 days ago


Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3303 Sw Bond Ave, Portland, OR 97239
Phone: 503-418-3376    
Milie Fang, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239
Phone: 503-494-1375    
Bert G Tavelli, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210
Phone: 503-223-1933    Fax: 503-223-1947
Natasha Fewkes Carter, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4914 Sw 1st Ave, Portland, OR 97239
Phone: 310-701-8274    
Dr. Samuel Fritz Bremmer, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8211    
Oluwadamilare Olalekan Ajayi, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3303 S Bond Ave, Portland, OR 97239
Phone: 503-418-3376    Fax: 503-494-6968
Diane Romayne Baker, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223
Phone: 503-471-0500    Fax: 503-471-0504

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