Active NPI
Patricia Christakos
- Student in an Organized Health Care Education/Training Program
- Beaverton, OR
National Provider Identifier
1730983396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 25-QMHA-R-6820
- Practice address
- 9400 SW Beaverton Hillsdale Hwy Ste 250
Beaverton, OR 97005-3300 - Phone
- (503) 743-7456
- NPI assigned
- Apr 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 25-QMHA-R-6820 | OR | Primary |
Addresses
Primary practice location
9400 SW Beaverton Hillsdale Hwy Ste 250
Beaverton, OR 97005-3300
Mailing address
11205 SW Partridge Loop
Beaverton, OR 97007-8151
Phone (951) 970-2894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25-QMHA-R-6820 | OR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1730983396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11205 SW PARTRIDGE LOOP",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078151",
"telephone_number": "951-970-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 SW BEAVERTON HILLSDALE HWY STE 250",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053300",
"telephone_number": "503-743-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTAKOS",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "25-QMHA-R-6820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.