KIMBERLEY J. SCOTT PA NPI 1386613883

NPI Information

NPI: 1386613883
Provider Name: KIMBERLEY J. SCOTT, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9701 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225
Phone: (503) 297-8081
Get Directions

Kimberley J. Scott, PA is a medical physician assistant in Portland, OR with 26 years of experience. Kimberley J. Scott, PA NPI is 1386613883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

9701 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225-689
Phone: (503) 297-8081
Fax: (503) 292-6601

The NPI 1386613883 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 3/16/2006 and was last updated on 4/2/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	6382	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	PA204268	OREGON	Yes
3	363A00000X	Physician Assistant				No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0207736	OTHER	WASHINGTON	LABOR & IND
2	8941182	OTHER	WASHINGTON	CRIME VICTIMS
3	500604767	MEDICAID	OREGON
4	8450082	MEDICAID	WASHINGTON
5	P00336906	OTHER		RR MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »