Individual provider · Type 1 NPI

Kelly Maria Munoz

Medical Physician Assistant · Portland, OR

NPI number 1972168706 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Fax (503) 494-0714

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA193788 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1972168706

Kelly Maria Munoz's National Provider Identifier is 1972168706, issued on May 7, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jun 25, 2025.