Individual provider Active NPI

Barabara Grace Keranen, RPH

  • Pharmacist
  • Portland, OR
National Provider Identifier
1174837314
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH0006632 Issued in OR
Practice address
7280 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2008
Phone
(503) 296-7454
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH0006632 OR Primary

Addresses

Primary practice location

7280 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2008

Mailing address

7280 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2008
Phone (503) 296-7454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH0006632ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1174837314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 SW BEAVERTON HILLSDALE HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252008",
            "telephone_number": "503-296-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 SW BEAVERTON HILLSDALE HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252008",
            "telephone_number": "503-296-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERANEN",
        "first_name": "BARABARA",
        "middle_name": "GRACE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0006632",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 29, 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.

Verify at the official NPI Registry.