# NANCY KAHANER DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134433790
- **Authorized official:** DR. NANCY R KAHANER DO (CEO)
- **Authorized official phone:** (503) 233-6622

## Contact information

- **Practice address:** 5415 SE MILWAUKIE AVE, STE 1, PORTLAND, OR 97202-4940
- **Practice address phone:** (503) 233-6622
- **Practice address fax:** (503) 233-9988
- **Mailing address:** 5415 SE MILWAUKIE AVE, STE 1, PORTLAND, OR 97202-4940
- **Mailing address phone:** (503) 233-6622
- **Mailing address fax:** (503) 233-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | DO 15080 | OR | Yes |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 08/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 162255 | OMAP | OR |
| 01 | — | R102408 | MEDICARE \# | OR |