Kristen Haslebacher

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1042277 Issued in OR

Practice address

4444 SW Multnomah Blvd
Portland, OR 97219-3558

Phone

(503) 245-5639

NPI assigned

Dec 21, 2011

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1467721415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 NW 106TH TER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193558",
            "telephone_number": "503-245-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLEBACHER",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1042277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hashop, M.D.
• Cooper L Haskell
• Pamela Jean Kelly Haskell, RD, LD
• Morgan Michelle Haskett
• Kelsee Rae Haskin
• John Alexander Haslett
• Bronwyn Rose Hassall-Santaella
• Caleb Hassan
• Faysal Ibrahim Hassan
• Hanaan Ismail Hassan, RN

• Pediatric Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.