Provider Demographics
NPI:1538155775
Name:KASHEY, NIKOLAUS A (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NIKOLAUS
Middle Name:A
Last Name:KASHEY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6689
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97228-6689
Mailing Address - Country:US
Mailing Address - Phone:503-414-3900
Mailing Address - Fax:503-494-3282
Practice Address - Street 1:18010 MCEWAN RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-7868
Practice Address - Country:US
Practice Address - Phone:503-525-7500
Practice Address - Fax:503-525-7501
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD181858207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine