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

Maria Kay Kulla

Individual provider Family Nurse Practitioner · NPI 1346924446

Maria Kay Kulla is a Nurse Practitioner in Gresham, Oregon. Qualified in 2022, 4 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023

Practice location Address checks out

24900 SE Stark St
Gresham, OR 97030-3355
Phone: (503) 413-7162
Fax: (503) 674-4140
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0008589 (OR)

Record details

NPI number1346924446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address44995 Se Paha Loop Dr, Sandy, OR 97055-9424

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gresham