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

MS. Kimberly Susan Shotz, WHCNP, LAC

Individual provider Women's Health Nurse Practitioner · NPI 1003908120

MS. Kimberly Susan Shotz, WHCNP, LAC is a Nurse Practitioner in Portland, Oregon. Qualified in 1997, 29 years ago. Practices with Project Quest, a 7-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
29
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

736 SE 60th Ave
Portland, OR 97215-1906
Phone: (971) 645-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence OR 093006979N7 (OR)
Acupuncturist Taxonomy 171100000X · Licence AC156829 (OR)

Record details

NPI number1003908120
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHCNP , LAC
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Project Quest — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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