Active NPI
Daryn M Portman, DPT
- Physical Therapist
- Happy Valley, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63775
- Practice address
- 16126 SE Happy Valley Town Center Dr Ste 200
Happy Valley, OR 97086-4256 - Phone
- (503) 427-0118
- NPI assigned
- Oct 7, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63775 | OR | Primary |
Addresses
Primary practice location
16126 SE Happy Valley Town Center Dr Ste 200
Happy Valley, OR 97086-4256
Mailing address
16126 SE Happy Valley Town Center Dr Ste 200
Happy Valley, OR 97086-4256
Phone (503) 427-0118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63775 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KJB Consulting Corporation | Physical Therapist | Current | Accepting new patients |
Locations
1427 NW Flanders St
Ste A
Portland, OR 97209
Phone (503) 473-6725
2525 NW Lovejoy St
Ste 202
Portland, OR 97210
Phone (503) 223-3078
3934 NE Martin Luther King Jr Blvd
Ste 203
Portland, OR 97212
Phone 5032231856301
2330 NW Flanders St
Ste G1
Portland, OR 97210
Phone (503) 224-9270
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1497172373
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1366083719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16126 SE HAPPY VALLEY TOWN CENTER DR STE 200",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970864256",
"telephone_number": "503-427-0118",
"fax_number": "503-227-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16126 SE HAPPY VALLEY TOWN CENTER DR STE 200",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970864256",
"telephone_number": "503-427-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTMAN",
"first_name": "DARYN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.