Active NPI
Kaleb Anthony Rankin, MD
- Addiction (Substance Use Disorder) Counselor
- Oregon City, OR
National Provider Identifier
1548017577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20-P-19
- Practice address
- 20048 Torrey Pines Dr
Oregon City, OR 97045-7027 - Phone
- (503) 877-2511
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20-P-19 | OR | Primary |
Addresses
Primary practice location
20048 Torrey Pines Dr
Oregon City, OR 97045-7027
Mailing address
100, 49 Vichitsongkram Rd
Ground Floor
Kathu, PHUKET 83120
TH
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-P-19 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1548017577",
"addresses": [
{
"country_code": "TH",
"country_name": "Thailand",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "100, 49 VICHITSONGKRAM RD",
"address_2": "GROUND FLOOR",
"city": "KATHU",
"state": "PHUKET",
"postal_code": "83120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20048 TORREY PINES DR",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970457027",
"telephone_number": "503-877-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "KALEB",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "20-P-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.