EMNET KABA
NPI 1255200457
Nurse Practitioner - Psychiatric/Mental Health in Clackamas, OR

Active since November 04, 2025
12822 SE OTT ST, CLACKAMAS, OR 97015(202) 710-7011 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emnet Kaba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMNET KABA (NPI 1255200457) is an individual psychiatric/mental health provider in Clackamas, Oregon, licensed in Oregon (10052714) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1255200457
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEMNET KABA
Location Address12822 SE OTT STClackamas, OR 97015-8637
Mailing Address12822 Se Ott StClackamas, OR 97015-8637 · (202) 710-7011
Sole ProprietorNo
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
NPI 1255200457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 10052714
12822 SE OTT ST, Clackamas, OR 97015

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
12822 SE OTT ST
CLACKAMAS, OR 97015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emnet Kaba's NPI number?

The NPI number for Emnet Kaba is 1255200457. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Emnet Kaba located?

Emnet Kaba practices at 12822 SE Ott St, Clackamas, OR 97015. The listed phone number is (202) 710-7011.

What is Emnet Kaba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Emnet Kaba was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.