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LAWRENCE MATSUO OKUMOTO
NPI 1902546906
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 30, 2022PECOS Enrolled
3181 SW SAM JACKSON PARK RD # L457, PORTLAND, OR 97239(503) 494-7735(503) 494-4264 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence Matsuo Okumoto NPPES

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

LAWRENCE MATSUO OKUMOTO (NPI 1902546906) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902546906
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLAWRENCE MATSUO OKUMOTO
Location Address3181 SW SAM JACKSON PARK RD # L457Portland, OR 97239-3011
Mailing Address1700 Mount Vernon AveBakersfield, CA 93306-4018 · (661) 326-2200 · Fax (661) 326-2950
Phone(503) 494-7735
Fax(503) 494-4264
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1902546906 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.
3181 SW SAM JACKSON PARK RD # L457, Portland, OR 97239
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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)

Lawrence Matsuo Okumoto 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 3

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

DR. ZOUYAN LU M.D.
Internal Medicine (Infectious Disease)
3181 SW SAM JACKSON PARK RD # L457
PORTLAND, OR 97239
Multnomah County (503) 418-8920
MONICA KUMARI SIKKA M.D.
Internal Medicine (Infectious Disease)
3181 SW SAM JACKSON PARK RD # L457
PORTLAND, OR 97239
Multnomah County (503) 494-7735
DR. LUIS ESPINOSA-AGUILAR MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L457
PORTLAND, OR 97239
Multnomah County (503) 494-7735

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 Lawrence Okumoto's NPI number?

The NPI number for Lawrence Okumoto is 1902546906. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Lawrence Okumoto located?

Lawrence Okumoto practices at 3181 SW Sam Jackson Park Rd # L457, Portland, OR 97239. The listed phone number is (503) 494-7735.

What is Lawrence Okumoto's specialty?

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

Is Lawrence Okumoto enrolled in Medicare?

Yes. Lawrence Okumoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lawrence Okumoto was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.