KRISTINE JOST WINDOM PAC NPI 1841282357

NPI Information

  • NPI: 1841282357
  • Provider Name: KRISTINE JOST WINDOM, PAC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9155 SW BARNES RD
    SUITE 440
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 297-3766

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NPI Details

Kristine Jost Windom, PAC is a surgical physician assistant in Portland, OR with 23 years of experience. Kristine Jost Windom, PAC NPI is 1841282357. 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:

9155 SW BARNES RD
SUITE 440
PORTLAND, OR
ZIP 97225-625
Phone: (503) 297-3766
Fax: (503) 297-8148

The NPI 1841282357 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 8/19/2005 and was last updated on 9/13/2012.

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
1363AS0400XPhysician AssistantSurgicalPA10004840WASHINGTONNo
2363AS0400XPhysician AssistantSurgicalPA00978OREGONYes

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
1Q17191MEDICARE UPINOREGON
2500602008MEDICAIDOREGON
3119341MEDICARE ID-TYPE UNSPECIFIEDOREGON
4165790MEDICARE PINOREGON

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: 11/21/2025

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