KENNETH K.S. MAH D.P.M.
NPI 1619075868
Podiatrist - Foot & Ankle Surgery in Beaverton, OR

Active since September 20, 2006
14355 SW ALLEN BLVD, SUITE 120, BEAVERTON, OR 97005(503) 643-1737(503) 643-4926 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth K.s. Mah D.p.m. NPPES

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

KENNETH K.S. MAH D.P.M. (NPI 1619075868) is an individual foot & ankle surgery provider in Beaverton, Oregon, licensed in Oregon (DP144) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619075868
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameKENNETH K.S. MAHCredential: D.P.M.
Location Address14355 SW ALLEN BLVD, SUITE 120Beaverton, OR 97005-4700
Mailing Address14355 Sw Allen Blvd, Suite 120Beaverton, OR 97005-4700 · (503) 643-1737
Fax(503) 643-4926
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 19, 2008
NPI 1619075868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OR · DP144
14355 SW ALLEN BLVD, Beaverton, OR 97005

Other Identifiers 3

Medicare UPINT67869
Medicare ID-Type Unspecified0000SGBGH
Medicare PIN0000SGBGHOR

Other Providers at the Same Location NPPES 5

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

Massage Therapist
14355 SW ALLEN BLVD, STE 100
BEAVERTON, OR 97005
Chiropractor
14355 SW ALLEN BLVD, STE 100
BEAVERTON, OR 97005
Internal Medicine
14355 SW ALLEN BLVD, 130
BEAVERTON, OR 97005
Chiropractor
14355 SW ALLEN BLVD, STE 100
BEAVERTON, OR 97005
Internal Medicine
14355 SW ALLEN BLVD, 130
BEAVERTON, OR 97005

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 Kenneth Mah's NPI number?

The NPI number for Kenneth Mah is 1619075868. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kenneth Mah located?

Kenneth Mah practices at 14355 SW Allen Blvd Suite 120, Beaverton, OR 97005. The listed phone number is (503) 643-1737.

What is Kenneth Mah's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Kenneth Mah was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.