Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kan-Di-Ki LLC

Organization Diagnostic Ultrasound Physician · NPI 1083926612

Kan-Di-Ki LLC is a Diagnostic Ultrasound Physician in Portland, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17744 NE San Rafael St
Portland, OR 97230-5927
Phone: (800) 638-3240
Fax: (303) 576-7986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Ultrasound Physician (primary) Taxonomy 2085U0001X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Taxonomy 335V00000X

Record details

NPI number1083926612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Cuomo — Authorized Official/Cfo · (800) 786-8015
Other names Diagnostic Laboratories; Tridentcare
NPI enumeratedJuly 12, 2010
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address215 Schilling Cir Ste 114, Hunt Valley, MD 21031-1113

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