SARAH KUPPENBENDER KONG


Address: 4411 Sw Vermont St, Portland, OR 97219-1020
Phone: 5034949992

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1620 E 12th St, The Dalles, OR 970583213 5412969151 5412969156

Other Providers SARAH KONG

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

Office Location

Street Address 4411 SW VERMONT ST
City PORTLAND
State OR
Zip Code 97219-1020

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97219

Improve Information

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Dataset Information

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.

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