Ko Pro Coaching LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KO PRO COACHING LLC

Practice address

3459 SE Pepperwood Way
Hillsboro, OR 97123-8664

Phone

(503) 998-6040

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Kevin OldsNPI 1063286300

Title

Sole Member

Phone

(503) 998-6040

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Olds, CRM

  • Peer Specialist
  • Hillsboro, OR
  • NPI 1063286300
  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1912778762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4266",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SE PEPPERWOOD WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238664",
            "telephone_number": "503-998-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO PRO COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "OLDS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-998-6040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Beth Knight, PHARMD
• Nicohl Knight
• Nadja L Knighte, LMT
• Jean Geinert Knutson, LMT
• Linda Tran Knutson, O.D.
• Kari Kobayashi, PA-C
• Tami R Kochan, CPNP
• Eleanor Koepke, L.C.S.W.
• Kathleen Albertoni Kohama, MA-CCC
• Joji Kohjima

• Community/Behavioral Health Agency in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.