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

Individual provider Physician Assistant · NPI 1316120181

Kayleen Marie Welbourn, PA is a Physician Assistant in Portland, Oregon. Qualified in 2007, 19 years ago. Practices with Orthopedic and Fracture Clinic PC, a 56-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01313 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA01313 (OR)

Record details

NPI number1316120181
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 14, 2007
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Orthopedic And Fracture Clinic Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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