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

Kenneth G Pippus, MD

Individual provider Pediatric Surgery Physician · NPI 1801982764

Kenneth G Pippus, MD is a Pediatric Surgery Physician in Portland, Oregon. Licensed in Colorado and Oregon. Registered with an NPI since 2006.

Licensed in
CO, OR
In the registry since
2006
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

9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652
Phone: (503) 216-6050
Fax: (503) 216-8658
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence MD152536 (OR)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 41464 (CO)

Record details

NPI number1801982764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing addressPo Box 3158, Portland, OR 97208-3158

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