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

Individual provider Surgical Physician Assistant · NPI 1013466549

Kimberly C Grady, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Northwest Cancer Specialists PC, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
Specialties on file
2
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

5050 NE Hoyt St Ste 256
Portland, OR 97213-2982
Phone: (503) 239-7767
Fax: (503) 215-6897
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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 PA179181 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA179181 (OR)

Record details

NPI number1013466549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2016
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwest Cancer Specialists Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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