Organization Active NPI

Nancy Kahaner DO PC

  • Medical Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1134433790
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DO 15080 Issued in OR
Legal business name
NANCY KAHANER DO PC
Practice address
5415 SE Milwaukie Ave
Ste 1
Portland, OR 97202-4940
Phone
(503) 233-6622
Fax
(503) 233-9988
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Nancy R Kahaner, DO
Title
Ceo
Phone
(503) 233-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DO 15080 OR Primary

Addresses

Primary practice location

5415 SE Milwaukie Ave
Ste 1
Portland, OR 97202-4940

Mailing address

5415 SE Milwaukie Ave
Ste 1
Portland, OR 97202-4940
Phone (503) 233-6622

Other identifiers 2

IdentifierTypeStateIssuer
162255OtherOROMAP
R102408OtherORMEDICARE #

National Provider Directory

National Provider Directory

Locations

5415 SE Milwaukie Ave
Ste 1
Portland, OR 97202
Phone (503) 233-6622

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1134433790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SE MILWAUKIE AVE",
            "address_2": "STE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024940",
            "telephone_number": "503-233-6622",
            "fax_number": "503-233-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SE MILWAUKIE AVE",
            "address_2": "STE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024940",
            "telephone_number": "503-233-6622",
            "fax_number": "503-233-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY KAHANER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "KAHANER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-233-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "DO 15080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "162255",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "R102408",
            "state": "OR"
        }
    ],
    "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 5, 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.

Verify at the official NPI Registry.