Princess Kagemulo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10301 NE Glisan St
Portland, OR 97220-4013

Phone

(503) 234-1541

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1477380319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204013",
            "telephone_number": "503-234-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGEMULO",
        "first_name": "PRINCESS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samipya Kafle, MD
• Ann G. Kafoury, M.A., L.P.C.
• Odeya Noam Kagan, MD
• Ryland Kagan, MD
• Tevyn D Kage, MD
• David I Kagen, M.D.
• Alexander Elias Kagle, DC
• Teresia Kagwima
• Kahak Or Inc
• Aaliyah Kahaloa-Young

• Behavior Technician in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.