Active NPI
Sally Kraynik NP LLC
- Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1134775703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Elizabeth Kraynik, MSN, AGPCNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Hillsboro, OR
- NPI 1518391804
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.