Tala Raed Alkhatib
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Beaverton, OR
NPI 1023733003 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1023733003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 8132 SW 186TH Ave
Beaverton, OR 97007-5530 - Phone
- (503) 384-8951
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | Yes |
Addresses
Primary practice location
8132 SW 186TH Ave
Beaverton, OR 97007-5530
Mailing address
8132 SW 186TH Ave
Beaverton, OR 97007-5530
Phone (503) 384-8951
NPI Registry JSON
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1023733003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8132 SW 186TH AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970075530",
"telephone_number": "503-384-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8132 SW 186TH AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970075530",
"telephone_number": "503-384-8951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHATIB",
"first_name": "TALA",
"middle_name": "RAED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.