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

Travis James Widman, MD

Individual provider Dermatology Physician · NPI 1700928397

Travis James Widman, MD is a Dermatology in Clackamas, Oregon. Graduated from University of Washington School of Medicine in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Trained at
University of Washington School of Medicine
Licensed in
OR
In the registry since
2007
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

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone: (503) 571-3332
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence LL16231 (OR)

Record details

NPI number1700928397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESDecember 23, 2010
Mailing address9900 Se Sunnyside Rd, Clackamas, OR 97015-9777

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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