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KAITLIN PORTER
NPI 1528764115
Student in an Organized Health Care Education/Training Program in Corvallis, OR

Active since February 06, 2023PECOS Enrolled
3600 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 768-5111 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, May 11, 2026, Feb 6, 2023 (3 updates tracked since 2023).

About Kaitlin Porter NPPES

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

KAITLIN PORTER (NPI 1528764115) is an individual student in an organized health care education/training program in Corvallis, Oregon and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528764115
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLIN PORTER
Location Address3600 NW SAMARITAN DRCorvallis, OR 97330-5472
Mailing Address3600 Nw Samaritan DrCorvallis, OR 97330-3737 · (541) 768-5111
Phone(541) 768-5111
Sole ProprietorNo
Enumeration DateFebruary 6, 2023
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1528764115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3600 NW SAMARITAN DR, Corvallis, OR 97330
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Porter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DR. ELIZABETH BURNS MCQUITTY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3600 NW SAMARITAN DR, PATHOLOGY DEPT
CORVALLIS, OR 97330
Benton County (541) 768-6697
MS. KIM SCHLESSINGER ANP-BC
Nurse Practitioner (Adult Health)
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6687
DR. PARINAV KANWAR
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
SAMUEL ARNOT DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111
DANIELLE MICHELLE NIEMANN DO
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
MOHAN AVULA DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
DR. RANDALL V. BREAM M.D.
Internal Medicine (Cardiovascular Disease)
3600 NW SAMARITAN DR, SUITE E350
CORVALLIS, OR 97330
Benton County (541) 768-5205
DR. DESTINY JENNIFER GMELCH M.D.
Pediatrics
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111

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 Kaitlin Porter's NPI number?

The NPI number for Kaitlin Porter is 1528764115. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Kaitlin Porter located?

Kaitlin Porter practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-5111.

What is Kaitlin Porter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlin Porter enrolled in Medicare?

Yes. Kaitlin Porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Porter was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.