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

Kristina M Wakeman

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1518385707

Kristina M Wakeman is a Pathology in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky, Oregon and Wisconsin.

Years since qualifying
12
Licensed in
KY, OR, WI
In the registry since
2014
Specialties on file
4
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8276
Fax: (503) 494-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 530 S Jackson St, Louisville, KY 40202-1675 — (502) 852-1816
  • 600 Highland Ave, Madison, WI 53792 — (608) 263-8443

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence MD214098 (OR)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X · Licence 68931 (WI)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence TP207 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518385707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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