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

Kip Bunn Flory Beckwith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023738010

Kip Bunn Flory Beckwith is a Physician Assistant in Klamath Falls, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2024, 2 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
Trained at
Oregon Health Sciences University School of Medicine
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1130
Phone: (541) 274-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 S Moody Ave, Portland, OR 97201-5042 — (503) 494-3633

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023738010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address2730 S Moody Ave, Portland, OR 97201-5042

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Klamath Falls