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

Kohl Kimoto, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1851240915

Kohl Kimoto, APRN is a Nurse Practitioner in Eugene, Oregon. Graduated from University of South Alabama College of Medicine in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon, Utah and Washington.

Years since qualifying
1
Trained at
University of South Alabama College of Medicine
Licensed in
OR, UT, WA
In the registry since
2026
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

360 E 10th Ave Ste 308
Eugene, OR 97401-3687
Phone: (833) 646-9633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Riverview Blvd, Springfield, OR 97477-3869 — (702) 234-0489

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10056381 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10357449-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP70097585 (WA)

Record details

NPI number1851240915
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address475 Riverview Blvd, Springfield, OR 97477-3869

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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