MK ORTHO LLC – NPI #1477162360
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

MK ORTHO LLC is an AHC clinic located in TUALATIN, OR. NPPES has assigned the NPI number 1477162360 to MK ORTHO LLC on July 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MK ORTHO LLC below.

NPI Profile for
MK ORTHO LLC

NPI Number
1477162360
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MK ORTHO LLC
Primary location
6485 SW BORLAND RD STE A
TUALATIN, OR 97062-9762
Phone: (503) 692-5483 Fax:
Mailing address
2351 NW WESTOVER RD UNIT 706
PORTLAND, OR 97210-3783
Phone: (817) 966-4689 Fax:
Organization Subpart
No
Authorized Official
MELISSA KOUNINE
OWNER
Phone: (817) 966-4689
Updated
Certification Date
Jul 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.