Individual provider Active NPI

Tomoaki Honda, DNP FNP NP-C ARNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1760852925
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60919316 Issued in WA
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

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190522001530 OR Practitioner - Nurse Practitioner 4082957642 Reassigns benefits to 1 organization
I20190523000742 WA Practitioner - Nurse Practitioner 4082957642 Reassigns benefits to 1 organization

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
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

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

LicenseStateTypeSpecialty
099000146RNORMDRegistered Nurse
RN 00135235WAMDRegistered Nurse
AP60919316WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Physicians, LLC Family CurrentSince Jun 1, 2019 Accepting new patients
Mark W Cheng LLC PastSince Nov 3, 2019 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.

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

Verify at the official NPI Registry.