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

Kelly Maria Munoz

Individual provider Medical Physician Assistant · NPI 1972168706

Kelly Maria Munoz is a Medical Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-1543
Fax: (503) 494-0714
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA193788 (OR)

Record details

NPI number1972168706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

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