Ansab Khwaja MD PC

Organization Active NPI Orthopaedic Surgery Physician · Milwaukie, OR

NPI 1083397517 · NPPES record last updated May 19, 2025

Key facts

NPI
1083397517
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ANSAB KHWAJA MD PC
Practice address
6542 SE Lake Rd Ste 201
Milwaukie, OR 97222-2245
Phone
(503) 659-1769
Fax
(503) 496-4525
NPI assigned
Aug 10, 2023
Organization subpart
No

Authorized official

Name
Angela L Roberts
Title
Practice Administrator
Phone
(503) 659-1715

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6542 SE Lake Rd
Ste 201
Portland, OR 97222
Phone (503) 659-1769

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207X00000X Yes

Addresses

Primary practice location

6542 SE Lake Rd Ste 201
Milwaukie, OR 97222-2245

Mailing address

6542 SE Lake Rd Ste 201
Milwaukie, OR 97222-2245
Phone (503) 659-1769

Other practice location 1

25050 SE Stark St Ste 301
Gresham, OR 97030-3388
Phone (503) 659-1769

Other identifiers

IdentifierTypeStateIssuer
500836886MedicaidOR

Other names

  • Ansab Khwaja MD PC Doing business as

Other providers in Milwaukie, OR

All providers in Milwaukie, OR · Orthopaedic Surgery Physician in Oregon

Sources for this page

Verify at the official NPI Registry.