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

Kyle Nathan Backer, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1487066841

Kyle Nathan Backer, MD is a Pathology in Longview, Washington. Qualified in 2013, 13 years ago. Practices with Peacehealth, a 187-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
13
Licensed in
CA, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 636-8760
Fax: (360) 414-7599
Show map & directions

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

Additional practice locations (2)

  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (205) 599-4822
  • 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 — (360) 514-2116

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD61544789 (WA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence A155221 (CA)

Record details

NPI number1487066841
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2014
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing addressPo Box 232410, San Diego, CA 92193-2410

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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