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MARYKATHRYN KORDASH
NPI 1780335489
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since January 13, 2022PECOS Enrolled
2775 NW 126TH AVE, PORTLAND, OR 97229(971) 279-3377 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marykathryn Kordash NPPES

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

MARYKATHRYN KORDASH (NPI 1780335489) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780335489
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYKATHRYN KORDASH
Location Address2775 NW 126TH AVEPortland, OR 97229-8381
Mailing Address2775 Nw 126th AvePortland, OR 97229-8381 · (971) 279-3377
Phone(971) 279-3377
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1780335489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2775 NW 126TH AVE, Portland, OR 97229
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marykathryn Kordash is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Marykathryn Kordash's NPI number?

The NPI number for Marykathryn Kordash is 1780335489. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Marykathryn Kordash located?

Marykathryn Kordash practices at 2775 NW 126th Ave, Portland, OR 97229. The listed phone number is (971) 279-3377.

What is Marykathryn Kordash's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marykathryn Kordash enrolled in Medicare?

Yes. Marykathryn Kordash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marykathryn Kordash was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.