Individual provider · Type 1 NPI

Athena Nicole Konicki, MD

Family Medicine Physician · Portland, OR

NPI number 1508509050 Active

Practice location

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107

Call (503) 261-7200 Map

Fax (503) 261-7226

Other practice locations

  • 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 · (360) 514-7550

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000XMD223694 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

20 other providers at this address

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About NPI 1508509050

Athena Nicole Konicki, MD's National Provider Identifier is 1508509050, issued on Apr 13, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Sep 14, 2026.