Organization Active NPI

Oregon Kidney and Hypertension Clinic, LLC

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1497501233
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
OREGON KIDNEY AND HYPERTENSION CLINIC, LLC
Practice address
15895 SW 72ND Ave Ste 250
Portland, OR 97224-7966
Phone
(503) 624-5630
Fax
(503) 624-9149
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dr. Firas George Khoury, MD
Title
Manager/ Practitioner
Phone
(503) 867-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

15895 SW 72ND Ave Ste 250
Portland, OR 97224-7966

Mailing address

2330 Falcon Dr
West Linn, OR 97068-4154
Phone (503) 867-1314

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1497501233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 FALCON DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684154",
            "telephone_number": "503-867-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15895 SW 72ND AVE STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247966",
            "telephone_number": "503-624-5630",
            "fax_number": "503-624-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON KIDNEY AND HYPERTENSION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGER/ PRACTITIONER",
        "authorized_official_telephone_number": "503-867-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Apr 24, 2024; 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.