Individual provider Active NPI

Erik Kwokshek Szeto

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1992986087
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ORDO11884 Issued in OR
Practice address
4130 SE Division St
Portland, OR 97202-1647
Phone
(503) 239-5836
Fax
(503) 236-8326
NPI assigned
Nov 17, 2007
Last updated
Nov 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ORDO11884 OR Primary

Addresses

Primary practice location

4130 SE Division St
Portland, OR 97202-1647

Mailing address

4130 SE Division St
Portland, OR 97202-1647
Phone (503) 239-5836

Other identifiers 1

IdentifierTypeStateIssuer
217497MedicaidOR

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
ORDO11884ORMDFamily Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1992986087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021647",
            "telephone_number": "503-239-5836",
            "fax_number": "503-236-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021647",
            "telephone_number": "503-239-5836",
            "fax_number": "503-236-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZETO",
        "first_name": "ERIK",
        "middle_name": "KWOKSHEK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "ORDO11884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217497",
            "state": "OR"
        }
    ],
    "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 Nov 17, 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.

Verify at the official NPI Registry.