Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirstie Lauren Wilson-Panum, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1386910818

Kirstie Lauren Wilson-Panum, MD is an Obstetrics/Gynecology in Portland, Oregon. Graduated from Georgetown University School of Medicine in 2008, 18 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
18
Trained at
Georgetown University School of Medicine
Licensed in
NY, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 N Graham St Ste 550
Portland, OR 97227-2010
Phone: (503) 284-5220
Fax: (503) 284-4971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD171212 (OR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 264220-1 (NY)

Record details

NPI number1386910818
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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