Organization Active NPI

Edna Kung, MD, PC

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1740517325
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD27996 Issued in OR
Legal business name
EDNA KUNG, MD, PC
Practice address
2456 NW Northrup St
Suite 1a
Portland, OR 97210-3253
Phone
(503) 241-5117
Fax
(503) 243-6632
NPI assigned
Nov 3, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Edna Kung, M.D.NPI 1578752846
Title
President
Phone
(503) 734-5381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD27996 OR Primary

Addresses

Primary practice location

2456 NW Northrup St
Suite 1a
Portland, OR 97210-3253

Mailing address

2456 NW Northrup St
Suite 1a
Portland, OR 97210-3253
Phone (503) 241-5117

National Provider Directory

National Provider Directory

Locations

1040 NW 22nd Ave
Ste 330
Portland, OR 97210
Phone (503) 274-0993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1740517325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "SUITE 1A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-241-5117",
            "fax_number": "503-243-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "SUITE 1A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-241-5117",
            "fax_number": "503-243-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA KUNG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-734-5381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD27996",
            "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 Nov 3, 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.