Active NPI
Kieran Henthorn
- Community Paramedic
- Portland, OR
National Provider Identifier
1225949373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Paramedic
- License
- 1316
- Practice address
- 11945 SW 70TH Ave
Portland, OR 97223-8566 - Phone
- (971) 348-1604
- NPI assigned
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 143161 | OR | |
| Community Paramedic | 146E00000X | 1316 | OR | Primary |
Addresses
Primary practice location
11945 SW 70TH Ave
Portland, OR 97223-8566
Mailing address
235 NE Atlantic St
McMinnville, OR 97128-9066
Phone (503) 935-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1225949373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 NE ATLANTIC ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289066",
"telephone_number": "503-935-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11945 SW 70TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238566",
"telephone_number": "971-348-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTHORN",
"first_name": "KIERAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "OR",
"license": "143161",
"primary": false
},
{
"code": "146E00000X",
"taxonomy_group": "",
"desc": "Community Paramedic",
"state": "OR",
"license": "1316",
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.