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

Kathleen Ryan Ponsford, PA-C

Individual provider Medical Physician Assistant · NPI 1053548669

Kathleen Ryan Ponsford, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2008, 18 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

305 SE Chkalov Dr Ste 170
Vancouver, WA 98683
Phone: (360) 787-7135
Fax: (360) 799-3913
Show map & directions

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

Additional practice locations (1)

  • 2005 W Main St, Battle Ground, WA 98604-4311 — (360) 882-2778

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60090604 (WA)

Record details

NPI number1053548669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESJune 13, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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