Active NPI
Nathan a Kemalyan MD Facs
- Surgery Physician
- Tualatin, OR
National Provider Identifier
1154989259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NATHAN A KEMALYAN MD FACS
- Practice address
- 6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762 - Phone
- (503) 468-3222
- NPI assigned
- Jun 4, 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
- Nathan Kemalyan, MD
- Title
- Owner/ Provider
- Phone
- (503) 468-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762
Mailing address
6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762
Phone (503) 468-3222
Other names 1
- Afterburn - A Place For Healing
National Provider Directory
National Provider DirectoryLocations
1949 Willamette Falls Dr
Ste F
West Linn, OR 97068
Phone (503) 468-3222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563926400000",
"number": "1154989259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6485 SW BORLAND RD STE B",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629762",
"telephone_number": "503-468-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6485 SW BORLAND RD STE B",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629762",
"telephone_number": "503-468-3222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHAN A KEMALYAN MD FACS",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2019-07-24",
"status": "A",
"authorized_official_last_name": "KEMALYAN",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "OWNER/ PROVIDER",
"authorized_official_telephone_number": "503-468-3222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Afterburn - A Place For Healing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.