Individual provider Active NPI

Michael John Pignataro

  • Addiction (Substance Use Disorder) Registered Nurse
  • Portland, OR
National Provider Identifier
1598221988
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
201811280RN Issued in OR
Practice address
6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Phone
(503) 252-3949
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 201811280RN OR Primary

Addresses

Primary practice location

6601 NE 78TH CT Ste A3
Portland, OR 97218-2823

Mailing address

6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Phone (503) 252-3949

Other names 1

  • Michael John Pignataro Other name

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

State licenses

LicenseStateTypeSpecialty
201811280RNORMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1598221988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 NE 78TH CT STE A3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182823",
            "telephone_number": "503-252-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 NE 78TH CT STE A3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182823",
            "telephone_number": "503-252-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNATARO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "201811280RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "PIGNATARO",
            "middle_name": "JOHN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 11, 2019; 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.