SODASAVANH JOY KHAMSOUKTHAVONG NPI 1508212283

NPI Information

  • NPI: 1508212283
  • Provider Name: SODASAVANH JOY KHAMSOUKTHAVONG
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 N GRAHAM ST STE 220
    PORTLAND, OR
    ZIP 97227
  • Phone: (503) 413-4710

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NPI Details

Sodasavanh Joy Khamsoukthavong is a clinical nurse specialist in Portland, OR with 22 years of experience. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Sodasavanh Joy Khamsoukthavong NPI is 1508212283. 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:

501 N GRAHAM ST STE 220
PORTLAND, OR
ZIP 97227-014
Phone: (503) 413-4710
Fax: (503) 413-7148

The NPI 1508212283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)

The enumeration date for this NPI number is 5/11/2016 and was last updated on 12/21/2018.

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
1364S00000XClinical Nurse Specialist200570006CNSOREGONYes

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: 11/21/2025

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