Individual provider · Type 1 NPI

Kristen Schmiedeskamp, PA

Surgical Physician Assistant · Portland, OR

NPI number 1992070874 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-4314 Map

Fax (503) 346-6810

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA162371 (OR)
Physician Assistant 363A00000XPA22177 (CA)
Surgical Physician Assistant Primary 363AS0400XPA162371 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1992070874

Kristen Schmiedeskamp, PA's National Provider Identifier is 1992070874, issued on Mar 12, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Feb 11, 2022.