NPI 1891737201 · live from the CMS NPI Registry
Reza Kafi, MD
Dermatology in Portland, OR. National Provider Identifier 1891737201, active.
NPI record
| NPI | 1891737201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 417 Sw 117th Ave Ste 100, Portland, OR 97225 |
| Practice phone | 503-216-8980 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | June 11, 2006 |
| Last updated | March 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | A84048 (CA) |
| Dermatology primary | 207N00000X | MD181659 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.