Individual provider Active NPI

Sarah K Kinnie, RT

  • Radiologic Technologist
  • Portland, OR
National Provider Identifier
1659607778
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
104647 Issued in OR
Practice address
735 NW 19TH Ave
Portland, OR 97209-1301
Phone
(503) 220-0066
Fax
(503) 464-9694
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 104647 OR Primary

Addresses

Primary practice location

735 NW 19TH Ave
Portland, OR 97209-1301

Mailing address

PO Box 66500
Portland, OR 97290-6500
Phone (503) 657-8663

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
104647ORMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Advanced MRI Portland II, LLC Past Accepting new patients

Organizations & group practices 1

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": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1659607778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972906500",
            "telephone_number": "503-657-8663",
            "fax_number": "503-723-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 NW 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091301",
            "telephone_number": "503-220-0066",
            "fax_number": "503-464-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNIE",
        "first_name": "SARAH",
        "middle_name": "K",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "OR",
            "license": "104647",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 23, 2009; 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.