Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly S. Kniebuehler, SLP-A

Individual provider Audiologist · NPI 1710198098

Kimberly S. Kniebuehler, SLP-A is a Qualified Audiologist in Portland, Oregon. Qualified in 1990, 36 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
36
Licensed in
OR
In the registry since
2007
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Practice location Address checks out

2801 N Gantenbein Ave NICU
Portland, OR 97227-1623
Phone: (503) 518-9321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 21101 (OR)

Record details

NPI number1710198098
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-A
Sole proprietorNo
NPI enumeratedMay 25, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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