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

Robert L. Klobucnik, MD

Individual provider Emergency Medicine Physician · NPI 1609899012

Robert L. Klobucnik, MD is an Emergency Medicine in Tualatin, Oregon. Graduated from Medical College of Ohio in 1994, 32 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
32
Trained at
Medical College of Ohio
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-7474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3550 N Interstate Ave, Portland, OR 97227-1196 — (503) 652-2888

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD22292 (OR)

Record details

NPI number1609899012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address6312 Sw Capitol Hwy, 502, Portland, OR 97239-1938

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1994 (32 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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