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

Kevin M Wiesmann, MD

Individual provider Diagnostic Radiology Physician · NPI 1164401535

Kevin M Wiesmann, MD is a Diagnostic Radiology in Portland, Oregon. Qualified in 2003, 23 years ago. Practices with Center for Medical Imaging LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Minnesota, Ohio and Oregon.

Years since qualifying
23
Licensed in
MN, OH, OR
In the registry since
2006
Specialties on file
3
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

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 170867 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 47145 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25.000136 (OH)

Record details

NPI number1164401535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESFebruary 8, 2017

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Center For Medical Imaging Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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