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KENNETH L RHOADS M.D., NPI 1912904103

Internal Medicine in PORTLAND, OR

Last Updated on : Feb 01,2017

KENNETH L RHOADS M.D., NPI 1912904103

About KENNETH L RHOADS (NPI 1912904103)


KENNETH L RHOADS is an Internal Medicine provider in PORTLAND, United States. His medical specialization is Internal Medicine with a focus in Cardiovascular Disease.

1912904103 is NPI number of KENNETH L RHOADS.

KENNETH L RHOADS's primary taxonomy code based on NPI Lookup is 207RC0000X with license number MD11869. This taxonomy code refers to Internal Medicine.

KENNETH L RHOADS has more than 16 years of experience.

KENNETH L RHOADS current practice location address is PO BOX 3777, PORTLAND, OR. KENNETH L RHOADS can be reached out via phone at 503-413-3900 and via fax at 503-413-3710 .

You can also correspond with KENNETH L RHOADS through mail at mailing address 1960 NW 167TH PL., SUITE 205, BEAVERTON, OR, United States. Mailing address contact number is 503-413-7162.

The enumeration date of KENNETH L RHOADS is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 5 years ago.

1912904103 NPI Information

Basic NPI information of KENNETH L RHOADS (NPI 1912904103) is provided below.

Name KENNETH L RHOADS
National Provider Id (NPI) 1912904103
Entity Type Individual
Gender M
Credential M.D.
Practice Address PO BOX 3777,
PORTLAND, OR, United States
Practice Telephone 503-413-3900
Practice Fax Number 503-413-3710
Mailing Address 1960 NW 167TH PL., SUITE 205 ,
BEAVERTON, OR, United States
Mailing Telephone 503-413-7162
Mailing Fax Number 503-672-6131
Enumeration Date 01-Jul-2005
Last Updated Date 01-Feb-2017

KENNETH L RHOADS (NPI 1912904103) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207RC0000X Internal Medicine, Cardiovascular Disease MD11869 OR

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
118063 MEDICARE ID-Type Unspecified (04) OR
242974 MEDICAID (05) OR
D42506 MEDICARE UPIN (02) OR
R187145 MEDICARE PIN (08) OR

KENNETH L RHOADS (NPI 1912904103) Office Location

Office location of KENNETH L RHOADS is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1013159557 KARA ELIZABETH MORGAN Dentist, General Practice P.O. BOX 365,
PORTLAND, AR, United States
30-Mar-2009
1578681342 JUANITA B TURNER Social Worker PO BOX 413,
PORTLAND, AR, United States
27-Mar-2007
1578770582 PORTLAND DRUG INC. Pharmacy, Community/Retail Pharmacy PO BOX 246,
PORTLAND, AR, United States
17-May-2007
1548425200 MELISSA BROOKS SELBY Physical Therapy Assistant PO BOX 412, 2196 ASHLEY 69 ROAD HAMBURG
PORTLAND, AR, United States
22-Jul-2008
1174637896 BRENDA FOWLER Nurse Practitioner, Community Health PO BOX 100,
PORTLAND, AR, United States
19-Aug-2006
1962518795 MAINLINE HEALTH SYSTEMS, INC Clinic/Center PO BOX 100,
PORTLAND, AR, United States
22-Aug-2006
1033139068 MARY ELIZABETH SWIHART Nurse Practitioner, Family 3900 S ZINTEL WAY FL 2,
KENNEWICK, WA, United States
20-Jul-2006
1891809547 MAINLINE HEALTH SYSTEMS INC Clinic/Center, Federally Qualified Health Center (FQHC) 203 MCCOMB ST,
WILMOT, AR, United States
19-Aug-2006
1386758043 MAINLINE HEALTH SYSTEMS INC Clinic/Center, Federally Qualified Health Center (FQHC) PO BOX 100,
PORTLAND, AR, United States
19-Aug-2006
1619082724 MAINLINE HEALTH SYSTEMS, INC Clinic/Center, Federally Qualified Health Center (FQHC) PO BOX 100,
PORTLAND, AR, United States
20-Aug-2006
1952405524 MAINLINE HEALTH SYSTEMS, INC Clinic/Center, Dental 203 MCCOMB ST,
WILMOT, AR, United States
12-Sep-2006
1316106388 MAINLINE HEALTH SYSTEMS INC Clinic/Center, Federally Qualified Health Center (FQHC) 233 N MAIN ST,
PORTLAND, AR, United States
05-Jun-2008
1396074886 AMY FLOYD Social Worker, Clinical 233 NORTH MAIN,
PORTLAND, AR, United States
14-Dec-2009
1376841247 BYRON K MONTGOMERY Nurse Practitioner 233 N MAIN ST,
PORTLAND, AR, United States
02-Mar-2011
1942611504 PORTLAND DRUG LLC Pharmacy, Community/Retail Pharmacy 105 HIGHWAY 165 S,
PORTLAND, AR, United States
16-May-2014
1649636986 MAINLINE HEALTH SYSTEMS, INC Clinic/Center, Federally Qualified Health Center (FQHC) PO BOX 509,
DERMOTT, AR, United States
31-Dec-2015
1982128096 MYRA BROOKE FLEMISTER Nurse Practitioner, Primary Care 233 N MAIN ST,
PORTLAND, AR, United States
31-Jul-2017
1659034643 JORDAN MACKENZIE YOUNG Pharmacist PO BOX 73,
PORTLAND, AR, United States
18-Oct-2021
1043966500 RILEY BAIN YOUNG Occupational Therapy Assistant 2935 LOCKCREST ST,
HOUSTON, TX, United States
23-Feb-2022
1124472055 STUART MALCOLM Student in an Organized Health Care Education/Training Program 601 SW 4TH AVE,
PORTLAND, CA, United States
18-Apr-2016

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1912904103?

1912904103 is the NPI number of KENNETH L RHOADS.

What is the specialty for KENNETH L RHOADS?

The Specialty of KENNETH L RHOADS is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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