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

Kristen P Massimino, MD

Individual provider Surgery Physician · NPI 1720208556

Kristen P Massimino, MD is a Surgical Oncology in Portland, Oregon. Graduated from Wright State University Boonshoft School of Medicine in 2007, 19 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
19
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OR
In the registry since
2007
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

9155 SW Barnes Rd Ste 238
Portland, OR 97225-6629
Phone: (503) 216-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Road #L579, Portland, OR 97239-3098 — (503) 494-8652

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence MD171629 (OR)
Surgery Physician Taxonomy 208600000X · Licence MD171629 (OR)

Record details

NPI number1720208556
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtySURGICAL ONCOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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