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

Dr. Kevin Michael Reavis, MD

Individual provider Surgery Physician · NPI 1891749149

Dr. Kevin Michael Reavis, MD is a General Surgery in Portland, Oregon. Graduated from Vanderbilt University School of Medicine in 1999, 27 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Oregon.

Years since qualifying
27
Trained at
Vanderbilt University School of Medicine
Licensed in
OH, OR
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

4805 NE Glisan St Ste 6N60
Portland, OR 97213-2933
Phone: (503) 935-8379
Fax: (503) 935-8940
Show map & directions

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

Additional practice locations (1)

  • 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 — (503) 935-8379

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD24248 (OR)
Surgery Physician Taxonomy 208600000X · Licence 35087725 (OH)

Record details

NPI number1891749149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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