Individual provider Active NPI

Donna K Kirchoff, MD

  • Developmental - Behavioral Pediatrics Physician
  • Portland, OR
National Provider Identifier
1285604173
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
MD27549 Issued in OR
Practice address
4850 SW Scholls Ferry Rd Ste 301
Portland, OR 97225-1696
Phone
(503) 444-1745
Fax
(503) 893-3070
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X MD27549 OR Primary

Addresses

Primary practice location

4850 SW Scholls Ferry Rd Ste 301
Portland, OR 97225-1696

Mailing address

4850 SW Scholls Ferry Rd Ste 301
Portland, OR 97225-1696
Phone (503) 444-1745

Other names 1

  • Donna Kay Spence Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27549ORMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1285604173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251696",
            "telephone_number": "503-444-1745",
            "fax_number": "503-893-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251696",
            "telephone_number": "503-444-1745",
            "fax_number": "503-893-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHOFF",
        "first_name": "DONNA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OR",
            "license": "MD27549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SPENCE",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 29, 2023; 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.