Organization Active NPI

Chienku Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
National Provider Identifier
1871848820
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
86547495 Issued in OR
Legal business name
CHIENKU SUPPLY CORPORATION
Practice address
7425 SE 159TH PL
Portland, OR 97236-4890
Phone
(503) 954-3907
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Mr. Bonaventure Semi Chienku
Title
President
Phone
(503) 954-3907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 86547495 OR Primary

Addresses

Primary practice location

7425 SE 159TH PL
Portland, OR 97236-4890

Mailing address

7425 SE 159TH PL
Portland, OR 97236-4890
Phone (503) 954-3907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1871848820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 SE 159TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364890",
            "telephone_number": "503-954-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 SE 159TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364890",
            "telephone_number": "503-954-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIENKU SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "CHIENKU",
        "authorized_official_first_name": "BONAVENTURE",
        "authorized_official_middle_name": "SEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-954-3907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "86547495",
            "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 Jul 16, 2012; 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.