Brian K Kittams, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD16265 Issued in OR

Practice address

16463 Boones Ferry Rd
Lake Oswego, OR 97035-4207

Phone

(503) 635-3743

Fax

(503) 635-1508

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1477596732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354207",
            "telephone_number": "503-635-3743",
            "fax_number": "503-635-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354207",
            "telephone_number": "503-635-3743",
            "fax_number": "503-635-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTAMS",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD16265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152769",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hidenao Kimura, MD
• Amanda Magdalena Kinder, FNP-C
• Franklin Brent King, LMT
• Lavonne Lee King, MSW, LCSW
• Yoko Kinoshita
• Carolyne L Kituyi
• KJ Washam Counseling LLC
• Eugene Edward Klecan, MD
• Allyson Leslie Klein, L.C.S.W.
• Douglas J. Klein, D.D.S., M.S.D.

• Pediatrics Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.