Cynthia Araradian

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR

NPI 1295313633 · NPPES record last updated Mar 29, 2021

Key facts

NPI
1295313633
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone
(503) 494-8211
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210810002995 OR Order and Referring Only - General Surgery
Practitioner - General Surgery
8426452608

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone (503) 494-8211

Other providers in Portland, OR

All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon

Sources for this page

Verify at the official NPI Registry.