Organization Active NPI

Sally Kraynik NP LLC

  • Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1134775703
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SALLY KRAYNIK NP LLC
Practice address
1895 E Main St
Hillsboro, OR 97123-4345
Phone
(503) 486-7862
Fax
(833) 266-6248
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Sally Elizabeth Kraynik, MSN, AGPCNP-BCNPI 1518391804
Title
Sole MBR
Phone
(503) 486-7862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

1895 E Main St
Hillsboro, OR 97123-4345

Mailing address

1895 E Main St
Hillsboro, OR 97123-4345
Phone (503) 486-7862

National Provider Directory

National Provider Directory

Locations

2266 S Dobson Rd
Ofc 266
Mesa, AZ 85202

9805 Double R Blvd
Ste 3038
Reno, NV 89521

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1134775703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234345",
            "telephone_number": "503-486-7862",
            "fax_number": "833-266-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234345",
            "telephone_number": "503-486-7862",
            "fax_number": "833-266-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY KRAYNIK NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KRAYNIK",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "503-486-7862",
        "authorized_official_credential": "MSN, AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.