SARAH KUPPENBENDER KONG (NPI# 1013434646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013434646 |
| Entity Type | Individual |
| Full Name | SARAH KUPPENBENDER KONG |
| Credential | FNP-C |
| Practice Address |
4411 Sw Vermont St Portland OR 97219-1020 |
| Mailing Address |
12960 Sw Douglas St Portland OR 97225-4548 |
| Practice Telephone | 5034949992 |
| Mailing Telephone | 5035519099 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201706888NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1620 E 12th St, The Dalles, OR 970583213 | 5412969151 | 5412969156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953246 | Sarah Kong | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr Rm 5a, Detroit, MI 48201-2167 | 2020-05-12 |
| 1417437328 | Sarah Tami Kong | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2018-08-20 |
| 1689883118 | Sarah Heshin Kong | Dentist | 8222 Douglas Ave, Suite 509, Dallas, TX 75225-5923 | 2007-05-22 |
| Street Address |
4411 SW VERMONT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
| 1609396365 | Eric Wecker | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2017-06-23 |
| 1164896791 | Jan Haxby | Pharmacist | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2015-11-19 |
| 1609289032 | Juliet F Baker | Specialist/Technologist | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2014-06-03 |
| 1417204041 | Sarah S Owens | Social Worker | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-08-14 |
| 1033466206 | University Professional Services | General Practice | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-08-07 |
| 1215282710 | Claire E. Hull | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-07-20 |
| 1699048686 | Pamela T English | Counselor | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-02-21 |
| 1346536018 | Ruth Christiansen | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2011-06-21 |
| 1609019686 | Jennifer S Mitchell | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2009-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.