Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Summerlin Simpson, PA-C

Individual provider Physician Assistant · NPI 1053905257

Kristin Summerlin Simpson, PA-C is a Physician Assistant in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4212 SE Evergreen St
Portland, OR 97206-7765
Phone: (503) 869-2319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053905257
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2021
Last updated in NPPESFebruary 27, 2021
Certification dateFebruary 27, 2021

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