KRISTIN SUMMERLIN SIMPSON PA-C
NPI 1053905257
Physician Assistant in Portland, OR

Active since February 27, 2021
4212 SE EVERGREEN ST, PORTLAND, OR 97206(503) 869-2319 Get Directions Write a Review

NPPES record last updated: February 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Summerlin Simpson Pa-c NPPES

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

KRISTIN SUMMERLIN SIMPSON PA-C (NPI 1053905257) is an individual physician assistant in Portland, Oregon and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1053905257
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN SUMMERLIN SIMPSONCredential: PA-C
Location Address4212 SE EVERGREEN STPortland, OR 97206-7765
Mailing Address4212 Se Evergreen StPortland, OR 97206-7765 · (503) 869-2319
Sole ProprietorYes
Enumeration DateFebruary 27, 2021
NPPES CertifiedFebruary 27, 2021
NPI 1053905257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4212 SE EVERGREEN ST, Portland, OR 97206

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kristin Simpson's NPI number?

The NPI number for Kristin Simpson is 1053905257. It was assigned to this individual provider in the NPPES registry on February 27, 2021.

Where is Kristin Simpson located?

Kristin Simpson practices at 4212 SE Evergreen St, Portland, OR 97206. The listed phone number is (503) 869-2319.

What is Kristin Simpson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kristin Simpson was last updated on February 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.