Daniel Ken Kamada, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

077038738N6 Issued in OR

Practice address

333 SE 223Rd Ave
Ste 204
Gresham, OR 97030-7454

Phone

(503) 661-7733

Fax

(503) 661-7890

NPI assigned

Apr 3, 2007

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 and National Provider Directory roles.

• Rita a. Stratton P.C.

  • Clinical Social Worker
  • Gresham, OR
  • NPI 1912192543
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790806149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SE 223RD AVE",
            "address_2": "STE 204",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307454",
            "telephone_number": "503-661-7733",
            "fax_number": "503-661-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SE 223RD AVE",
            "address_2": "STE 204",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307454",
            "telephone_number": "503-661-7733",
            "fax_number": "503-661-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMADA",
        "first_name": "DANIEL",
        "middle_name": "KEN",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "077038738N6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selam Kahassay
• Kaiser Foundation Health Plan of the Northwest
• Robert L Kalez, MD PC
• Kelly Jayne Kalk, D.C.
• Megan Kallas, L.M.T.
• Pamela Kandt, HYGIENIST
• Kanewood Residential LLC
• Audry Kang, M.D.
• Jayley Joy Kappes
• Ritta Karam, DMD

• Psychiatric/Mental Health Nurse Practitioner in Gresham, OR
• Providers in Gresham, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.