Active NPI
Michael Darnell Porter II, LPN
- Licensed Practical Nurse
- Portland, OR
National Provider Identifier
1346038700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 10008780
- Practice address
- 6601 NE 78TH CT Ste A3
Portland, OR 97218-2823 - Phone
- (503) 252-4027
- NPI assigned
- Apr 28, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 10008780 | OR | Primary |
Addresses
Primary practice location
6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Mailing address
6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Phone (503) 252-4027
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html | CRC Health Oregon, LLC |
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 |
|---|---|---|---|
| 10008780 | OR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1346038700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 NE 78TH CT STE A3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182823",
"telephone_number": "503-252-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 NE 78TH CT STE A3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182823",
"telephone_number": "503-252-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MICHAEL",
"middle_name": "DARNELL",
"name_suffix": "II",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "10008780",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "CRC Health Oregon, LLC",
"address_1": "6601 NE 78th Court, Ste A3",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "97218",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.