Active NPI
Jeffrey Kiker, N.D., BS, AS, LMT
- Naturopath
- Portland, OR
National Provider Identifier
1093862112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1680
- Practice address
- 4004 SW Kelly Ave
Portland, OR 97239-4389 - Phone
- (503) 595-5407
- Fax
- (503) 595-5408
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10848 | OR | |
| Naturopath | 175F00000X | 1680 | OR | Primary |
Addresses
Primary practice location
4004 SW Kelly Ave
Portland, OR 97239-4389
Mailing address
5731 SE Tenino St
Portland, OR 97206-8969
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
- Credentials
- Associate of Science, Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | OR | MD | Clinical Psychologist |
| 10848 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1093862112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5731 SE TENINO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972068969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 SW KELLY AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394389",
"telephone_number": "503-595-5407",
"fax_number": "503-595-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIKER",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "N.D., BS, AS, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "10848",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.