Active NPI
Ariam Kidane
- Pharmacist
- Portland, OR
National Provider Identifier
1245785245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0015480
- Practice address
- 7440 N Denver Ave
Portland, OR 97217-5630 - Phone
- (503) 567-0157
- Fax
- (503) 286-5290
- NPI assigned
- Aug 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0015480 | OR | Primary |
Addresses
Primary practice location
7440 N Denver Ave
Portland, OR 97217-5630
Mailing address
7440 N Denver Ave
Portland, OR 97217-5630
Phone (503) 567-0157
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015480 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1245785245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7440 N DENVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175630",
"telephone_number": "503-567-0157",
"fax_number": "503-286-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 N DENVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175630",
"telephone_number": "503-567-0157",
"fax_number": "503-286-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDANE",
"first_name": "ARIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0015480",
"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 Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.