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

Kristina Bandoni Kirchgessner, PA-C

Individual provider Medical Physician Assistant · NPI 1881146645

Kristina Bandoni Kirchgessner, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Broadway Medical Clinic LLP, an 18-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
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 NE Broadway
Portland, OR 97213-1422
Phone: (503) 249-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 — (206) 823-1004

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA213247 (OR)

Record details

NPI number1881146645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Broadway Medical Clinic Llp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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