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

Dr. Kyle Randall Besaw, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407344872

Dr. Kyle Randall Besaw, MD is a Family Practice in Portland, Oregon. Graduated from Tulane University School of Medicine in 2018, 8 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
8
Trained at
Tulane University School of Medicine
Licensed in
OR, WA
In the registry since
2018
Specialties on file
3
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: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 E 33rd St Ste 100, Vancouver, WA 98663 — (360) 514-7560

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD206293 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61188750 (WA)

Record details

NPI number1407344872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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