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

Koji Kainuma

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669898268

Koji Kainuma is a Nurse Practitioner in Salem, Oregon. Qualified in 2013, 13 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
13
Licensed in
CA, OR
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

255 Lancaster Dr NE
Salem, OR 97301-5155
Phone: (503) 576-8400
Fax: (503) 364-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 Lancaster Dr Ne, Salem, OR 97301-5155 — (503) 576-8400

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201905019NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95001713 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 201904695RN (OR)

Record details

NPI number1669898268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 7, 2014
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address255 Lancaster Dr Ne, Salem, OR 97301-5155

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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