Kendall Clayton Karch

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

200641000RN Issued in OR

Practice address

30 NE MLK Jr Blvd
Portland, OR 97232-2941

Phone

(503) 230-7652

NPI assigned

Dec 12, 2019

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

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1932747607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 NE 41ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972118142",
            "telephone_number": "971-235-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NE MLK JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322941",
            "telephone_number": "503-230-7652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 NE 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972118142",
            "country_code": "US",
            "telephone_number": "971-235-4398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARCH",
        "first_name": "KENDALL",
        "middle_name": "CLAYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200641000RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Karas, MS, QMHP
• Fiona A Karbowicz, RPH
• Sean Henry Karbowicz, PHARM.D.
• Evelyn Karby, LPC
• Andi May Karch
• Nyssa Karchefski-Ross, RN
• Emmaleia A Kardaras
• Adel Kardosh, M.D.
• Amy K Karecki, LMT
• Adesola Kareem, RN B.SC

• Psychiatric/Mental Health Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.