Elijah Karanja

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

RTF100092 Issued in OR

Practice address

526 SE 128TH Ave
Portland, OR 97233-1602

Phone

(503) 810-7879

Fax

(971) 339-3946

NPI assigned

Jun 3, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Path Light Agency LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1801637756

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1720829898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SE 128TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331602",
            "telephone_number": "503-810-7879",
            "fax_number": "971-339-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SE 128TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331602",
            "telephone_number": "503-810-7879",
            "fax_number": "971-339-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "ELIJAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "RTF100092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Karam, MD
• Nawal Karam
• Shaza Karam, PSYD
• Elizabeth Karambelas, LMT
• Elham Karamooz, M.D.
• Grace Nduta Karanja
• Rosaline Karanja
• Sarah Karas, MS, QMHP
• Fiona A Karbowicz, RPH
• Sean Henry Karbowicz, PHARM.D.

• Mental Illness Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.