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NPI 1285443937 · Technician · Portland, OR
Provider details
- NPI number
- 1285443937
- Entity type
- Organization
- Primary specialty
- TechnicianNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Joshua Levine, Executive Director(503) 780-6165
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4813 Se Kelly St
Portland, OR 97206-2254
Phone: (503) 780-6165
Street-level locationGet directions
Mailing address
4813 Se Kelly St
Portland, OR 97206-2254
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.