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NPISignal

Individual Healthcare Provider

Jason Michael Polder, M.D.

NPI Record: ActiveRadiology — Vascular & Interventional Radiology
NPI1144751470
Portland, Oregon

Provider's NPPES record last updated: August 19, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1144751470
Primary Specialty
Radiology — Vascular & Interventional Radiology
Practice Location
Portland, Oregon
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:31 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Vascular & Interventional Radiology

    Allopathic & Osteopathic Physicians

    Primary

    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

    Taxonomy code 2085R0204X
  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X

Provider-Reported License Information

Radiology (Oregon)
219506
Radiology (Oregon)
219503
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

9205 Sw Barnes Rd Ste 150

Portland, Oregon 97225-6603

Phone: (503) 216-4830

Record Information

Enumeration Date
March 27, 2017
Provider's NPPES Record Last Updated
August 19, 2024
Certification Date
August 19, 2024
NPISignal NPPES Dataset
August 2026

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