Active NPI
Jami Kisling, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Tigard, OR
National Provider Identifier
1992924401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- Practice address
- 11945 SW Pacific Hwy
#113
Tigard, OR 97223-6469 - Phone
- (503) 684-8159
- Fax
- (503) 598-0934
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | OR | Primary |
Addresses
Primary practice location
11945 SW Pacific Hwy
#113
Tigard, OR 97223-6469
Mailing address
4322 SW Palatine St
Portland, OR 97219-9525
Phone (503) 245-7025
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098000539RN | OR | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992924401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4322 SW PALATINE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972199525",
"telephone_number": "503-245-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11945 SW PACIFIC HWY",
"address_2": "#113",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236469",
"telephone_number": "503-684-8159",
"fax_number": "503-598-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISLING",
"first_name": "JAMI",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.