Individual provider Active NPI

Ash Kreis

  • Specialist
  • Portland, OR
National Provider Identifier
1104733807
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E-10274750 Issued in OR
Practice address
1235 SE Division St Ste 115
Portland, OR 97202-1085
Phone
(719) 352-2243
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E-10274750 OR Primary

Addresses

Primary practice location

1235 SE Division St Ste 115
Portland, OR 97202-1085

Mailing address

1235 SE Division St Ste 115
Portland, OR 97202-1085
Phone (719) 352-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1104733807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021085",
            "telephone_number": "719-352-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021085",
            "telephone_number": "719-352-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIS",
        "first_name": "ASH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "E-10274750",
            "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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.