KEVIN NATHANIEL HARE
NPI 1841903390
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Kevin Hare's NPI number?

The NPI number for Kevin Hare is 1841903390. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is Kevin Hare's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Hare was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 29, 2022PECOS Enrolled

1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7711(503) 413-6892 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Dec 29, 2022 (2 updates tracked since 2022).

On this page

About Kevin Nathaniel Hare NPPES

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

KEVIN NATHANIEL HARE (NPI 1841903390) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1841903390

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN NATHANIEL HARE

Location Address1015 NW 22ND AVEPortland, OR 97210-3025

Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235

Phone(503) 413-7711

Fax(503) 413-6892

Sole ProprietorYes

Enumeration DateDecember 29, 2022

Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1841903390 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.

1015 NW 22ND AVE, Portland, OR 97210

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Secondary Practice Location 1

Location 1200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Nathaniel Hare 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.

Other Providers at the Same Location NPPES 20

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

TSYRIA SHIANN TANG DO

Internal Medicine

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7036

MARK A CRISLIP

Internal Medicine (Infectious Disease)

1015 NW 22ND AVE, R200
PORTLAND, OR 97210

Multnomah County (503) 413-8258

COLTON PATRICK BONEY DO

Student in an Organized Health Care Education/Training Program

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7711

NICKOLAS ROCKENBACK MD

Student in an Organized Health Care Education/Training Program

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7711

CAROLYN N RHETT MD

Emergency Medicine

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7260

BRIAN BATTALIA MD

Internal Medicine

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 464-9034

DR. JUDITH ANN RAY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-8259

JENELLE LYNN STINSON PHARMD

Pharmacist

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7008

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 Kevin Hare's NPI number?

The NPI number for Kevin Hare is 1841903390. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Kevin Hare located?

Kevin Hare practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Kevin Hare's specialty?

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

Is Kevin Hare enrolled in Medicare?

Yes. Kevin Hare is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Hare was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.