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

Dr. Katherine Michelle Runyan, MD

Individual provider Family Medicine Physician · NPI 1114963717

Dr. Katherine Michelle Runyan, MD is a Family Practice in Keizer, Oregon. Graduated from University of South Carolina School of Medicine in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Trained at
University of South Carolina School of Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5940 Ulali Dr NE
Keizer, OR 97303-1500
Phone: (800) 813-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10670 Ne Cornell Rd Ste 101, Hillsboro, OR 97124-9221 — (503) 216-9360
  • 115 Ne May Ln, McMinnville, OR 97128-9272 — (503) 359-5564

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD190533 (OR)

Record details

NPI number1114963717
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Keizer