Active NPI
Karina Porter
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Beaverton, OR
National Provider Identifier
1043675135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0015064
- Practice address
- 17200 NW Corridor CT Ste 110
Beaverton, OR 97006-3295 - Phone
- (503) 213-3800
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0015064 | OR | |
| Psychiatric Pharmacist | 1835P1300X | 0015064 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0015064 | OR | Primary |
Addresses
Primary practice location
17200 NW Corridor CT Ste 110
Beaverton, OR 97006-3295
Mailing address
17200 NW Corridor CT Ste 110
Beaverton, OR 97006-3295
Phone (503) 213-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015064 | OR | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174820815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1043675135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17200 NW CORRIDOR CT STE 110",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970063295",
"telephone_number": "503-213-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 NW CORRIDOR CT STE 110",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970063295",
"telephone_number": "503-213-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0015064",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "OR",
"license": "0015064",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "0015064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.