Individual provider · Type 1 NPI

Kathryn Elise Burk-Wake, PA-C

Physician Assistant · Portland, OR

NPI number 1871065649 Active

Practice location

417 SW 117th Ave
Portland, OR 97225-5924

Call (503) 216-9400 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA190649 (OR)

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 1871065649

Kathryn Elise Burk-Wake, PA-C's National Provider Identifier is 1871065649, issued on Dec 18, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Apr 10, 2026.