Provider Demographics
NPI:1780811646
Name:KEVIN NAKAJI INC.
Entity type:Organization
Organization Name:KEVIN NAKAJI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAJI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-750-9266
Mailing Address - Street 1:735 SW 158TH AVE STE 160
Mailing Address - Street 2:THE KOR
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-4952
Mailing Address - Country:US
Mailing Address - Phone:503-597-0035
Mailing Address - Fax:503-296-2985
Practice Address - Street 1:735 SW 158TH AVE STE 160
Practice Address - Street 2:THE KOR
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-4952
Practice Address - Country:US
Practice Address - Phone:503-597-0035
Practice Address - Fax:503-296-2985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR543171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty