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

Individual provider Physician Assistant · NPI 1003184714

Kiersten Sperry, PA-C is a Physician Assistant in Beaverton, Oregon. Graduated from Pacific Medical College in 2019, 7 years ago. Practices with Crm Physicians LLC, a 58-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
Pacific Medical College
Licensed in
OR
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6800 SW 105th Ave Ste 206
Beaverton, OR 97008-5487
Phone: (503) 430-1777
Fax: (503) 372-5119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA195464 (OR)

Record details

NPI number1003184714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 8, 2011
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address6800 Sw 105th Ave Ste 206, Beaverton, OR 97008-5487

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPACIFIC MEDICAL COLLEGE
Graduated 2019 (7 years in practice)
Group practice Crm Physicians Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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