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

Dr. Scott Richard Kennedy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033311774

Dr. Scott Richard Kennedy, MD is an Anesthesiology in Vancouver, Washington. Graduated from Oregon Health Sciences University School of Medicine in 2006, 20 years ago. Practices with Oregon Anesthesiology Group PC, a 233-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
20
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR, WA
In the registry since
2007
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

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone: (360) 667-3056
Fax: (360) 666-0466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD60134869 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LL16597 (OR)

Record details

NPI number1033311774
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESMay 19, 2010

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Oregon Anesthesiology Group Pc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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