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

Carolin Sachiko Kong

Individual provider Family Nurse Practitioner · NPI 1770102329

Carolin Sachiko Kong is a Nurse Practitioner in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Providence Health and Services - Oregon, a 218-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2020
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Practice location Address checks out

9135 SW Barnes Rd Ste 861
Portland, OR 97225-6777
Phone: (503) 216-1032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202002630NP-PP (OR)

Record details

NPI number1770102329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services - Oregon — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland