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

Kimberlie Anne Dame, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1366134843

Kimberlie Anne Dame, AGPCNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

9135 SW Barnes Rd Ste 261
Portland, OR 97225-6784
Phone: (503) 216-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 10008811 (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 10008811 (OR)

Record details

NPI number1366134843
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portland