Individual provider Active NPI

Daryn M Portman, DPT

  • Physical Therapist
  • Happy Valley, OR
National Provider Identifier
1366083719
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63775 Issued in OR
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

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
63775ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KJB Consulting Corporation Physical Therapist CurrentSince Jan 20, 2023 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.

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.

Verify at the official NPI Registry.