DR. KENNETH MICHAEL ETTINGER M.D.
NPI 1972617330
Allergy & Immunology in Portland, OR

Active since August 19, 2006
3550 N INTERSTATE AVE, PORTLAND, OR 97227(503) 285-9321(503) 331-6450 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Michael Ettinger M.d. NPPES

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

DR. KENNETH MICHAEL ETTINGER M.D. (NPI 1972617330) is an individual allergy & immunology provider in Portland, Oregon, licensed in Oregon (MD13428) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972617330
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. KENNETH MICHAEL ETTINGERCredential: M.D.
Location Address3550 N INTERSTATE AVEPortland, OR 97227-1196
Mailing Address3550 N Interstate AvePortland, OR 97227-1196 · (503) 285-9321 · Fax (503) 331-6450
Fax(503) 331-6450
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateFebruary 4, 2022
NPI 1972617330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses Licensed in OR · MD13428 Licensed in WA · MD00027111
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
3550 N INTERSTATE AVE, Portland, OR 97227

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.

Counselor
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Family)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Dietitian, Registered
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227
Pharmacy (Managed Care Organization Pharmacy)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3550 N INTERSTATE AVE
PORTLAND, OR 97227

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 Ettinger's NPI number?

The NPI number for Kenneth Ettinger is 1972617330. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Kenneth Ettinger located?

Kenneth Ettinger practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 285-9321.

What is Kenneth Ettinger's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Ettinger was last updated on February 4, 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.