KIREN JEAN KRESA-REAHL M.D. NPI 1144311929

NPI Information

NPI: 1144311929
Provider Name: KIREN JEAN KRESA-REAHL, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
9427 SW BARNES RD
STE 595
PORTLAND, OR
ZIP 97225
Phone: (503) 216-1060
Get Directions

Kiren Jean Kresa-reahl, M.D. is a neurology psychiatry neurology in Portland, OR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Kiren Jean Kresa-reahl, M.D. NPI is 1144311929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9427 SW BARNES RD
STE 595
PORTLAND, OR
ZIP 97225-640
Phone: (503) 216-1060
Fax: (503) 216-1066

The enumeration date for this NPI number is 9/27/2006 and was last updated on 10/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	18694	WEST VIRGINIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	MD152526	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	550751874	OTHER	WEST VIRGINIA	ACORDIA
2	550751874	OTHER	WEST VIRGINIA	CIGNA
3	9290971	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA	MEDICARE GROUP
4	001721997	OTHER	WEST VIRGINIA	BCBS BOX 24
5	001710644	OTHER	WEST VIRGINIA	BCBS SERVICE ID BOX 33
6	0090571000	MEDICAID	WEST VIRGINIA
7	550751874	OTHER	WEST VIRGINIA	CARELINK
8	1039965	OTHER	WEST VIRGINIA	WORKERS COMP
9	5080656	OTHER	WEST VIRGINIA	AETNA
10	130024841	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA	RAILROAD
11	0826901	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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