Active NPI
Tomoaki Honda, DNP FNP NP-C ARNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60919316
- Practice address
- 1675 SW Marlow Ave Ste 202
Portland, OR 97225-5102 - Phone
- (503) 430-1777
- NPI assigned
- Sep 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 00135235 | WA | |
| Registered Nurse | 163W00000X | 099000146RN | OR | |
| Family Nurse Practitioner | 363LF0000X | AP60919316 | WA | Primary |
Addresses
Primary practice location
1675 SW Marlow Ave Ste 202
Portland, OR 97225-5102
Mailing address
1675 SW Marlow Ave Ste 202
Portland, OR 97225-5102
Phone (503) 430-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 SE Oak St
Hillsboro, OR 97123-4120
Phone (503) 648-8588
6800 SW 105TH Ave
Beaverton, OR 97008-5487
8507 NE 8TH Way
Vancouver, WA 98664-1980
Phone (503) 430-1777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099000146RN | OR | MD | Registered Nurse |
| RN 00135235 | WA | MD | Registered Nurse |
| AP60919316 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRM Physicians, LLC | Family | Current | Accepting new patients |
| Mark W Cheng LLC | Past | Accepting new patients |
Locations
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
1675 SW Marlow Ave
Ste 202
Portland, OR 97225
1675 SW Marlow Ave
Ste 206
Portland, OR 97225
801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879
8507 NE 8th Way
Vancouver, WA 98664
Phone (360) 254-5335
Organizations & group practices 2
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.
-
dba Ascent Healthcare
- Internal Medicine Physician
- Beaverton, OR
- NPI 1952674996
Family, WA
-
- Physical Medicine & Rehabilitation Physician
- Portland, OR
- NPI 1497251904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1760852925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE STE 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255102",
"telephone_number": "503-430-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE STE 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255102",
"telephone_number": "503-430-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONDA",
"first_name": "TOMOAKI",
"name_prefix": "Dr.",
"credential": "DNP FNP NP-C ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN 00135235",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "099000146RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60919316",
"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 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.