Individual provider Active NPI

Viktoriya Mikhaylovna Dimaku, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1619404316
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201703002NP-PP Issued in OR
Practice address
7689 SW Capitol Hwy
Portland, OR 97219-2475
Phone
(971) 319-3562
Fax
(877) 771-0997
NPI assigned
May 12, 2017
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201703002NP-PP OR Primary

Addresses

Primary practice location

7689 SW Capitol Hwy
Portland, OR 97219-2475

Mailing address

6125 SW Boundary St
Portland, OR 97221-1019
Phone (971) 319-3499

Other names 1

  • Viktoriya Mikhaylovna Chepel Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907002231 OR Practitioner - Nurse Practitioner 6002189347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Np2U LLCGroup PAC ID 4486876240, 6 clinicians

Practice addresses (Care Compare)

402 SE G St
Grants Pass, OR 97526-3066
Phone (888) 253-6598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201703002NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah Family Care Center Current Accepting new patients
Np2U, LLC CurrentSince Jan 20, 2025 Accepting new patients
Columbia Lutheran Charities CurrentSince Jan 1, 2025 Accepting new patients
PPM Oregon LLC CurrentSince Jul 1, 2022 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

402 SE G St
Grants Pass, OR 97526
Phone (541) 476-1583

7515 NE Ambassador Pl
Ste C
Portland, OR 97220
Phone (503) 261-8599

7689 SW Capitol Hwy
Portland, OR 97219
Phone (503) 445-4454

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1619404316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 SW BOUNDARY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211019",
            "telephone_number": "971-319-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7689 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192475",
            "telephone_number": "971-319-3562",
            "fax_number": "877-771-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAKU",
        "first_name": "VIKTORIYA",
        "middle_name": "MIKHAYLOVNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201703002NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKTORIYA",
            "last_name": "CHEPEL",
            "middle_name": "MIKHAYLOVNA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.