Portland Neurology & Sleep PC

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

License

DO157968 Issued in OR

Legal business name

PORTLAND NEUROLOGY & SLEEP PC

Practice address

501 N Graham St
Suite 515
Portland, OR 97227-1654

Phone

(503) 282-0943

Fax

(503) 282-2682

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Beenish K Khwaja, DO

Title

Physician

Phone

(503) 282-0943

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk L Weller, M.D.

  • Neurology Physician
  • Portland, OR
  • NPI 1235169566
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1346593357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "SUITE 515",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-282-0943",
            "fax_number": "503-282-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "SUITE 515",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-282-0943",
            "fax_number": "503-282-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND NEUROLOGY & SLEEP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "KHWAJA",
        "authorized_official_first_name": "BEENISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-282-0943",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "OR",
            "license": "DO157968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Modern Dentistry, PC
• Portland Natural Medicine, Inc
• Portland NE 11325 of Cascadia, LLC
• Portland Neurodivergent Clinic LLC
• Portland Neurofeedback, LLC
• Portland Neurosurgery PC
• Portland New Family Fund
• Portland Nutrition Group LLC
• Portland Obstetrics & Gynecology Associates PC
• Portland Ocd and Anxiety Center LLC

• Sleep Specialist (PhD) in Portland, OR
• Providers in Portland, OR by specialty
• Sleep Specialist (PhD) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.