Active NPI
Karen Pearl Agnes Kent, LMT
- Technician
- Portland, OR
National Provider Identifier
1437404910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 155744
- Practice address
- 8230 SW Barbur Blvd
Portland, OR 97219-2843 - Phone
- (503) 702-8043
- NPI assigned
- Jul 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18303 | OR | |
| Technician | 374700000X | L9790 | CA | |
| Technician | 374700000X | 155744 | OR | Primary |
Addresses
Primary practice location
8230 SW Barbur Blvd
Portland, OR 97219-2843
Mailing address
4154 Calaroga Cir
West Linn, OR 97068-1005
Phone (503) 702-8043
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 |
|---|---|---|---|
| 18303 | OR | MD | Massage Therapist |
| L9790 | CA | MD | Technician |
| 155744 | OR | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1437404910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4154 CALAROGA CIR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681005",
"telephone_number": "503-702-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 SW BARBUR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192843",
"telephone_number": "503-702-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "KAREN",
"middle_name": "PEARL AGNES",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2023-01-20",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18303",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "CA",
"license": "L9790",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "OR",
"license": "155744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 20, 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.