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KPG OREGON, LLC
NPI 1730552845
Internal Medicine - Addiction Medicine in Astoria, OR

Active since November 11, 2015
486 12TH STREET #200, ASTORIA, OR 97103(310) 975-1428 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2018, Nov 11, 2015 (2 updates tracked since 2015).

About Kpg Oregon, Llc NPPES

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

KPG OREGON, LLC (NPI 1730552845) is a healthcare organization registered as an addiction medicine in Astoria, Oregon and active in the NPI registry since November 2015. The organization lists Darryl Olivier, Coo, as its authorized official.

NPPES Registry Identity

NPI1730552845
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameKPG OREGON, LLC
Location Address486 12TH STREET #200Astoria, OR 97103
Mailing Address9000 Sunset Blvd #1500West Hollywood, CA 90069 · (310) 975-1428
Phone(310) 975-1428
Organization SubpartNo
Authorized OfficialDarryl OlivierCoo · (310) 975-1450
Enumeration DateNovember 11, 2015
Last NPPES UpdateApril 12, 20182 updates tracked since enumeration
✔ NPI 1730552845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in OR · MD168198
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kpg Oregon, LLC's NPI number?

The NPI number for Kpg Oregon, LLC is 1730552845. It was assigned to this organization in the NPPES registry on November 11, 2015.

Where is Kpg Oregon, LLC located?

Kpg Oregon, LLC is located at 486 12th Street #200, Astoria, OR 97103. The listed phone number is (310) 975-1428.

What is Kpg Oregon, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Kpg Oregon, LLC was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.