Anne Agnes Dahlkemper, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA153091 Issued in OR

Practice address

3181 Sam Jackson Park Rd GH 219
Ohsu PA Program
Portland, OR 97239

Phone

(734) 945-2147

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1043479553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 N MONTANA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175431",
            "telephone_number": "734-945-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SAM JACKSON PARK RD GH 219",
            "address_2": "OHSU PA PROGRAM",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "734-945-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKEMPER",
        "first_name": "ANNE",
        "middle_name": "AGNES",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA153091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Elaine Dahlen
• Rachael Dahlen, CCC-SLP
• Jennifer Dahlgren
• Jennifer Dahlin
• Katherine M Dahlke, MD
• Kristi Lee Dahlman, LMHC, LPC
• Ahmad Dahman
• Dahra Perkins MD PC
• Catherine Ann Dahrens-Epperly, LPC
• Faye Dahuyag, OT

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.