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

Heidi Kjos, MD

Individual provider Family Medicine Physician · NPI 1124015433

Heidi Kjos, MD is a Family Practice in Vancouver, Washington. Graduated from University of Minnesota Medical School in 1997, 29 years ago. Practices with Peacehealth, a 248-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
29
Trained at
University of Minnesota Medical School
Licensed in
OR, WA
In the registry since
2005
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

3101 SE 192nd Ave Ste 106
Vancouver, WA 98683-1442
Phone: (360) 729-8010
Fax: (360) 729-8011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60200769 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD153026 (OR)

Record details

NPI number1124015433
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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