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

Kimberly Marie Kittell

Individual provider Physician Assistant · NPI 1710479787

Kimberly Marie Kittell is a Physician Assistant in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Northwest Medical Foundation of Tillamook, a 80-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2018
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Practice location Address checks out

2730 SW Moody Ave
Portland, OR 97201-5042
Phone: (503) 812-1876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OR)

Record details

NPI number1710479787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address2730 Sw Moody Ave, Portland, OR 97201-5042

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northwest Medical Foundation Of Tillamook — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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