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

Kyline Nicole Farwell, PA

Individual provider Physician Assistant · NPI 1093340515

Kyline Nicole Farwell, PA is a Physician Assistant in Portland, Oregon. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5050 NE Hoyt St Ste 626
Portland, OR 97213-2956
Phone: (503) 917-3950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Forest St, McCall, ID 83638-5256 — (208) 401-8325

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA201995 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1093340515
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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