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

Kristyn Demello

Individual provider Acute Care Nurse Practitioner · NPI 1104585298

Kristyn Demello is a Nurse Practitioner in Portland, Oregon. Qualified in 2021, 5 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021

Practice location Address checks out

500 NE Multnomah St
Portland, OR 97232-2023
Phone: (877) 221-8221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 202112775NPPP (OR)

Record details

NPI number1104585298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022
Mailing address500 Ne Multnomah St, Portland, OR 97232-2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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