Active NPI
Rosemarie E KHNG, RN/QMHP
- Registered Nurse
- Portland, OR
National Provider Identifier
1649649641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 081001086RN
- Practice address
- 1438 SE Division St
Portland, OR 97202-1140 - Phone
- (503) 548-0346
- Fax
- (503) 232-5959
- NPI assigned
- Sep 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 081001086RN | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1438 SE Division St
Portland, OR 97202-1140
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500711513 | Medicaid | OR |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081001086RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1649649641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021140",
"telephone_number": "503-548-0346",
"fax_number": "503-232-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHNG",
"first_name": "ROSEMARIE",
"middle_name": "E",
"credential": "RN/QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "081001086RN",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500711513",
"state": "OR"
}
],
"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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.