Active NPI
Karen E Lutt, PA-C
- Medical Physician Assistant
- Oregon City, OR
National Provider Identifier
1336171578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA01000
- Practice address
- 1508 Division St
Suite 105
Oregon City, OR 97045-1582 - Phone
- (503) 656-0836
- Fax
- (503) 656-9464
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA01000 | OR | Primary |
Addresses
Primary practice location
1508 Division St
Suite 105
Oregon City, OR 97045-1582
Mailing address
1508 Division St
Suite 105
Oregon City, OR 97045-1582
Phone (503) 656-0836
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01000 | OR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336171578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "SUITE 105",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451582",
"telephone_number": "503-656-0836",
"fax_number": "503-656-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "SUITE 105",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451582",
"telephone_number": "503-656-0836",
"fax_number": "503-656-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTT",
"first_name": "KAREN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA01000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.