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

Kelsey Tanaka, FNP

Individual provider Family Nurse Practitioner · NPI 1649727348

Kelsey Tanaka, FNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Oregon and Washington.

Years since qualifying
10
Licensed in
IA, OR, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

839 NE Holladay St
Portland, OR 97232-3521
Phone: (503) 203-0700
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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 202206538NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60687964 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A162206 (IA)

Record details

NPI number1649727348
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 10, 2016
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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