Individual provider · Type 1 NPI

Liya Kuruvilla, PA-C

Physician Assistant · Portland, OR

NPI number 1629609706 Active

Practice location

4400 NE Halsey St Ste 102
Portland, OR 97213-1545

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA226765 (OR)
Physician Assistant 363A00000X085007334 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629609706

Liya Kuruvilla, PA-C's National Provider Identifier is 1629609706, issued on Jan 28, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Nov 4, 2025.