Kadalyst Health Partners, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KADALYST HEALTH PARTNERS, LLC

Doing business as

Kadalyst

Practice address

340 SE 6TH Ave
Portland, OR 97214

Phone

(503) 512-5175

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Benjamin Prinzing

Title

Managing Partner

Phone

(503) 806-8899

Specialties & licenses 1

Addresses

Other names 1

• Kadalyst Doing business as

Locations

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1649683244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SE 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141101",
            "telephone_number": "503-512-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SE 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-512-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADALYST HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "PRINZING",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "503-806-8899"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kadalyst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxine Rachel Kacher, CCC-SLP
• Andrea Kachman, PNP
• Alison Kachuck, PHARMD
• Fen Thomas Kacin, PWS
• Ebony Kaczorowski
• Kalei Renae Kadau, R.N.
• Hannah J Kadavy, MD
• Timothy Kaddis, MD
• Muayad Kadhim
• Laura Kading, PA-C

• Case Management Agency in Portland, OR
• Providers in Portland, OR by specialty
• Case Management Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.