Individual provider Active NPI

Reiko Sefranek, LPN

  • Licensed Practical Nurse
  • Portland, OR
National Provider Identifier
1831881861
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201610234LPN Issued in OR
Practice address
324 NW Davis St
Portland, OR 97209-3925
Phone
(503) 226-2203
Fax
(503) 223-4231
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201610234LPN OR Primary

Addresses

Primary practice location

324 NW Davis St
Portland, OR 97209-3925

Mailing address

8520 SW Sagert St
Tualatin, OR 97062-9115
Phone (971) 719-9186

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201610234LPNORMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1831881861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 SW SAGERT ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629115",
            "telephone_number": "971-719-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NW DAVIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093925",
            "telephone_number": "503-226-2203",
            "fax_number": "503-223-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFRANEK",
        "first_name": "REIKO",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201610234LPN",
            "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 May 26, 2023; 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.