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

Mrs. Kristina Marie Dwyhalo, MSPA

Individual provider Physician Assistant · NPI 1346676186

Mrs. Kristina Marie Dwyhalo, MSPA is a Physician Assistant in Clackamas, Oregon. Qualified in 2013, 13 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
13
Licensed in
OR, WA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone: (503) 571-4222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA170407 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA60514736 (WA)

Record details

NPI number1346676186
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA
Sole proprietorNo
NPI enumeratedSeptember 25, 2013
Last updated in NPPESJanuary 16, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clackamas