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

NPI Status: Active since August 19, 2006

Contact Information

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 285-9321
Fax: (503) 331-6450

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  • Individual
  • Male
  • Allergy & Immunology

About KENNETH ETTINGER

This page provides the complete NPI Profile along with additional information for Kenneth Ettinger, a provider established in Portland, Oregon with a medical specialization in Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1972617330 assigned on August 2006. The practitioner's primary taxonomy code is 207K00000X with license number MD13428 (OR). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1972617330
Provider Name
DR. KENNETH MICHAEL ETTINGER M.D.
Gender
Male
Entity Type
Individual
Location Address
3550 N INTERSTATE AVE PORTLAND, OR 97227
Location Phone
(503) 285-9321
Location Fax
(503) 331-6450
Mailing Address
3550 N INTERSTATE AVE PORTLAND, OR 97227
Mailing Phone
(503) 285-9321
Mailing Fax
(503) 331-6450
Is Sole Proprietor?
No
Enumeration Date
08-19-2006
Last Update Date
02-04-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD13428
License State
OR
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

MD00027111 (WA)

Reviews for DR. KENNETH MICHAEL ETTINGER M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972617330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421211436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 2 + 1 + 1 + 4 + 3 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1972617330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790798270DR. LEONORA BALBUENA DANTAS MD
Individual
Neuromusculoskeletal Medicine & OMM3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-6440
1497768998DR. LAURETTA LEE YOUNG M.D.
Individual
Psychiatry & Neurology (Psychiatry)3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1285647735 PETR MIKSOVSKY M.D.
Individual
Obstetrics & Gynecology3550 N INTERSTATE AVE KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGY
PORTLAND, OR 97227
(503) 285-9321
1235142621 ALIDA NEELTJE ROL M.D.
Individual
Obstetrics & Gynecology3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1740293281DR. JOEL STEPHEN GODBEY M.D.
Individual
Internal Medicine3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1922111822MS. JULIE LEE MATTESON ANP-C
Individual
Nurse Practitioner (Adult Health)3550 N INTERSTATE AVE KAISER PERMANENTE INTERSTATE MEDICAL OFFICE E
PORTLAND, OR 97227
(503) 331-6465
1255445425DR. JENNIFER DALE SIMPSON
Individual
Internal Medicine (Rheumatology)3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 904-7778
1396859401MRS. EILEEN LINDA LIPKIN L.C.S.W.
Individual
Social Worker (Clinical)3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-5258
1659485662 LAURIE ANN KRESS LCSW
Individual
Social Worker3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 249-3434
1336254739 ANDREW DORSON FRANK M.D.
Individual
Internal Medicine3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-6526
1659486074 JEROME DAVID CASEY PA
Individual
Physician Assistant3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1386758035 JOJI KAPPES M.D.
Individual
Internal Medicine (Rheumatology)3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-5231
1114033610MS. JANE ROSEVELT
Individual
Nurse Practitioner3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1225144777DR. JOHN R SWARTZEL M.D.
Individual
Internal Medicine3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-6440
1831205780 TERESA MARIE ZAHARIADES LCSW
Individual
Social Worker (Clinical)3550 N INTERSTATE AVE KAISER PERMANENTE- INTERSTATE MEDICAL OFFICE EAST
PORTLAND, OR 97227
(503) 331-6416
1154437945 JOHN TAO-FAN CHEN MD
Individual
Internal Medicine3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1548376338 RENEE M PYPE PA
Individual
Physician Assistant (Medical)3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-6440
1730296351 JENNIFER BASS M.D.
Individual
Pediatrics3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 331-6440
1043327331MR. THEO B HARPER M.A., L.P.C.
Individual
Counselor (Mental Health)3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321
1326155409 THOMAS FREDERICK SYLTEBO M.D.
Individual
Family Medicine3550 N INTERSTATE AVE
PORTLAND, OR 97227
(503) 285-9321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972617330, enumerated in the NPI registry as an "individual" on August 19, 2006

The provider is located at 3550 N Interstate Ave Portland, Or 97227 and the phone number is (503) 285-9321

The provider's speciality is Allergy & Immunology with taxonomy code 207K00000X

This NPI record was last updated on August 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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