1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Physical Medicine Rehabilitation
  6. NPI Profile

DR. LYNETTE SANTOS MALIK M.D.
NPI 1023209897
Physical Medicine & Rehabilitation - Sports Medicine in Portland, OR

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE, PORTLAND, OR 97227(503) 331-3070(503) 331-3089 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lynette Santos Malik M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYNETTE SANTOS MALIK M.D. (NPI 1023209897) is an individual sports medicine provider in Portland, Oregon, licensed in Oregon (MD163117) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2006).

NPPES Registry Identity

NPI1023209897
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameDR. LYNETTE SANTOS MALIKCredential: M.D.
Location Address3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINEPortland, OR 97227-1106
Mailing Address3600 N Interstate Ave, Department Of Physical MedicinePortland, OR 97227-1106 · (503) 331-3070 · Fax (503) 331-3089
Phone(503) 331-3070
Fax(503) 331-3089
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2006
Enumeration DateAugust 7, 2007
Last NPPES UpdateNovember 13, 2013
✔ NPI 1023209897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in OR · MD163117
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 125053433 (IL), 2011033713 (MO)
3600 N INTERSTATE AVE, Portland, OR 97227
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Lynette Repaso Santos M.d.

Other Identifiers 1

Medicare PIN151850004MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lynette Santos Malik M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305003831
PECOS Enrollment IDI20131026000130
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID WEI KUO LIN M.D.
Otolaryngology
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227
Multnomah County (503) 331-6085
DR. RYO A. SHOHARA M.D.
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6500
JOHANNA R HEYMANN RN, LCSW
Social Worker (Clinical)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 213-8000
DR. SARI JOUIHAN MS, PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 504-4203
THOMAS HUGH GIBBS O.D.
Optometrist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 249-3449
DR. CATALINA HERNANDEZ TORRES MD
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
ANTONY MATHEW POOTHULLIL MD
Ophthalmology
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6330
MS. PATRICIA A. THOMA P.T., O.C.S.
Physical Therapist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Malik's NPI number?

The NPI number for Lynette Malik is 1023209897. It was assigned to this individual provider in the NPPES registry on August 7, 2007. The provider is also known as Dr. Lynette Repaso Santos M.D..

Where is Lynette Malik located?

Lynette Malik practices at 3600 N Interstate Ave Department Of Physical Medicine, Portland, OR 97227. The listed phone number is (503) 331-3070.

What is Lynette Malik's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Lynette Malik enrolled in Medicare?

Yes. Lynette Malik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lynette Malik accept?

Health plans from Kaiser Permanente list Lynette Malik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynette Malik was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.