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

Individual provider Allergy & Immunology Physician · NPI 1972617330

Dr. Kenneth Michael Ettinger, MD is an Allergy & Immunology Physician in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 285-9321
Fax: (503) 331-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence MD13428 (OR)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence MD00027111 (WA)

Record details

NPI number1972617330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESFebruary 4, 2022
Mailing address3550 N Interstate Ave, Portland, OR 97227-1196

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