Individual provider Active NPI

Christine M. Kenlan-Laurent, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1568438182
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
200150065NRNMNP-PP Issued in OR
Practice address
2800 N Vancouver Ave
Suite 255
Portland, OR 97227-1630
Phone
(503) 413-4500
Fax
(503) 413-5222
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 200150065NRNMNP-PP OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave
Suite 255
Portland, OR 97227-1630

Mailing address

2800 N Vancouver Ave
Suite 255
Portland, OR 97227-1630
Phone (503) 413-4500

Other identifiers 2

IdentifierTypeStateIssuer
9645979MedicaidWA
297423MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000579 OR Practitioner - Certified Nurse Midwife (CNM) 9234035700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
200150065NRNMNP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Mar 26, 2020 Accepting new patients
Silverton Health Advanced Practice Midwife CurrentSince Mar 26, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 1, 2007 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Clinics LLC CurrentSince Jun 1, 2007 Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients
My Other Me Past Accepting new patients

Locations

2800 N Vancouver Ave
Ste 201
Portland, OR 97227
Phone (503) 276-9000

2800 N Vancouver Ave
Ste 2
Portland, OR 97227
Phone (503) 413-4500

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2800 N Vancouver Ave
Ste 255
Portland, OR 97227
Phone (503) 413-4500

475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Interoperability endpoints

  • Direct secure messaging: ckenlanlaurent11716@direct.lhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1568438182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "SUITE 255",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271630",
            "telephone_number": "503-413-4500",
            "fax_number": "503-413-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "SUITE 255",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271630",
            "telephone_number": "503-413-4500",
            "fax_number": "503-413-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENLAN-LAURENT",
        "first_name": "CHRISTINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200150065NRNMNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9645979",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297423",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.