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

Ethan Kimball, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407484934

Ethan Kimball, DO is an Emergency Medicine in Portland, Oregon. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2020, 6 years ago. Practices with Portland Adventist Medical Center, a 272-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Portland, OR

Additional practice locations (1)

  • 930 Sw Abbey St, Newport, OR 97365-4820 — (541) 265-2244

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO209426 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407484934
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2020 (6 years in practice)
Group practice Portland Adventist Medical Center — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland