Active NPI
Kevin Keith Oyama, MD
- Anatomic Pathology & Clinical Pathology Physician
- Tualatin, OR
National Provider Identifier
1790822211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD16601
- Practice address
- 19300 SW 65TH Ave
Dept of Pathology
Tualatin, OR 97062-7706 - Phone
- (503) 692-2485
- Fax
- (503) 692-2638
- NPI assigned
- Jan 31, 2007
- Last updated
- May 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD16601 | OR | Primary |
Addresses
Primary practice location
19300 SW 65TH Ave
Dept of Pathology
Tualatin, OR 97062-7706
Mailing address
19300 SW 65TH Ave
Dept of Pathology
Tualatin, OR 97062-7706
Phone (503) 692-2485
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062070 | Medicaid | OR | |
| 8345555 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1790822211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19300 SW 65TH AVE",
"address_2": "DEPT OF PATHOLOGY",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627706",
"telephone_number": "503-692-2485",
"fax_number": "503-692-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 SW 65TH AVE",
"address_2": "DEPT OF PATHOLOGY",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627706",
"telephone_number": "503-692-2485",
"fax_number": "503-692-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYAMA",
"first_name": "KEVIN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OR",
"license": "MD16601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062070",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8345555",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
- Oregon Spine Care LLC (Oregon Spine Care)
- Nathan Daniel Orvets, MD
- Kaycee Lynn Owens, MS CC SLP
- Gary Owings, RPH
- Mikenzie A Owning
- P Bowman LLC (Tualatin Pharmacy)
- Pacific Cataract and Laser Institute, Inc., P.C.
- Pacific Eye Group, PC (Pacific Eye Group)
- Pacific Heart Associates, P.C.
- Pacific Medicine Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.