KRISTIN SUMMERLIN SIMPSON
Physician Assistant

Address: 4212 Se Evergreen St, Portland, OR 97206-7765

KRISTIN SUMMERLIN SIMPSON (NPI# 1053905257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053905257
Entity Type Individual
Full Name KRISTIN SUMMERLIN SIMPSON
Gender Female
Credential PA-C
Practice Address 4212 Se Evergreen St
Portland
OR 97206-7765
Practice Telephone 5038692319
Mailing Address 4212 Se Evergreen St
Portland
OR 97206-7765
Mailing Telephone 5038692319
Certification Date 2021-02-27
Enumeration Date 2021-02-27
Last Update Date 2021-02-27
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4212 SE EVERGREEN ST
City PORTLAND
State OR
Zip Code 97206-7765

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician · Attendant Care Provider 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence · Mollie Kathleen Gardner Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1083029250 Portland Therapy Solutions, LLC Social Worker · Clinical 6536 Se Duke St, Portland, OR 97206 2014-06-26
1114368354 Quinn Robert Hummel Dentist · General Practice 5528 Se Powell Blvd, Portland, OR 97206 2013-07-16
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor · Mental Health 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
Find all providers in zip 97206

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609468784 Kali Christine Komer 9775 Sw Wilshire St Ste 200, Portland, OR 97225-5067 2021-02-09
1861081317 Mildred Sturtevant 2828 Sw Sunset Blvd, Portland, OR 97239-1225 2021-01-11
1427676493 Lindsey Louise Peterson 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1336769637 Molly Tanguay 23 Bramhall St, Portland, ME 04102-3121 2020-04-16
1093340515 Kyline Nicole Farwell · Kylie Nicole Farwell 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 2020-03-04
1093352718 Ashley Rose Anderson 66 Bramhall St Ste G1, Portland, ME 04102-3344 2019-12-01
1689217630 Evan Eisher 3809 Se Stephens St, Portland, OR 97214-5248 2019-10-22
1508407941 Amie Bates 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 2019-10-07
1144879628 William Theodore Simpson 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 2019-09-08
1558923326 Mackenzie Graye Mcmillin 1601 Congress St Ste 1, Portland, ME 04102-2145 2019-07-02
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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