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

Kristin H Bourret, PAC

Individual provider Surgical Physician Assistant · NPI 1073555306

Kristin H Bourret, PAC is a Physician Assistant in Portland, Oregon. Qualified in 2005, 21 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
21
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4400 NE Halsey St Ste 102
Portland, OR 97213-1545
Phone: (503) 962-1000
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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 Rd, Portland, OR 97239-3011 — (503) 494-7810

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01095 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA01095 (OR)

Record details

NPI number1073555306
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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