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KRISTIEN MARIE SIMA PAC NPI 1336132471


NPI Information

NPI: 1336132471
Provider Name: KRISTIEN MARIE SIMA, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
2222 NW LOVEJOY ST
SUITE 315
PORTLAND, OR
ZIP 97210
Phone: (503) 226-6321
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Kristien Marie Sima, PAC is a surgical physician assistant in Portland, OR with 20 years of experience. Kristien Marie Sima, PAC NPI is 1336132471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 NW LOVEJOY ST
SUITE 315
PORTLAND, OR
ZIP 97210-033
Phone: (503) 226-6321
Fax: (503) 227-3422

The NPI 1336132471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 12/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA01025OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q39868MEDICARE UPINOREGON
2130880MEDICARE ID-TYPE UNSPECIFIEDOREGON
38857274MEDICARE PINWASHINGTON
48502510MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.