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

Kerry Councilman, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1497904452

Kerry Councilman, MD is a Pathology in Bend, Oregon. Graduated from Texas Tech University Health Science Center School of Medicine in 2004, 22 years ago. Practices with Central Oregon Pathology Consultants PC, an 8-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
OR
In the registry since
2008
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

1348 NE Cushing Dr
Bend, OR 97701-3876
Phone: (541) 382-7696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 48166 (OR)

Record details

NPI number1497904452
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address1348 Ne Cushing Dr, Bend, OR 97701-3876

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Central Oregon Pathology Consultants Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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