Active NPI
Nancy Kahaner DO PC
- Medical Specialty Clinic/Center
- Portland, OR
National Provider Identifier
1134433790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- DO 15080
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162255 | Other | OR | OMAP |
| R102408 | Other | OR | MEDICARE # |
National Provider Directory
National Provider DirectoryLocations
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.