Organization Active NPI

Nathan a Kemalyan MD Facs

  • Surgery Physician
  • Tualatin, OR
National Provider Identifier
1154989259
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Jul 24, 2019

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.