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KENDALL HALL
NPI 1790379733
Physician Assistant - Medical in Tigard, OR

Active since February 20, 2021PECOS EnrolledAccepts Medicare Assignment
12123 SW 69TH AVE, TIGARD, OR 97223(971) 708-7600 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2024, Sep 8, 2023, Jul 17, 2023 and 1 more (4 updates tracked since 2021).

About Kendall Hall NPPES

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

KENDALL HALL (NPI 1790379733) is an individual medical provider in Tigard, Oregon, licensed in Oregon (PA211820) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1790379733
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKENDALL HALL
Location Address12123 SW 69TH AVETigard, OR 97223-8514
Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508 · (360) 597-1313
Phone(971) 708-7600
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2022
Enumeration DateFebruary 20, 2021
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1790379733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA211820
12123 SW 69TH AVE, Tigard, OR 97223
Open in Google Maps ↗

Secondary Practice Location 1

Location 12730 S Moody AvePortland, OR 97201-5042 · Phone (503) 494-3633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Kendall Hall 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 ID9032571203
PECOS Enrollment IDI20230821000713
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
136 services77 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
117 services72 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services78 patients
Carcinoembryonic antigen (cea) protein level 82378
Carcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.
68 services43 patients
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 86300
This is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.
65 services41 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

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.

CHRISTINA VIERU PA-C
Obstetrics & Gynecology (Gynecologic Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (971) 708-7600
JOHN CRAMER SCHULER M.D.
Radiology (Radiation Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (971) 708-7600
GAYLE JOHNSON
Physician Assistant (Surgical)
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (971) 708-7600
LAURA CHRISTINE WULLSCHLEGER RDN
Dietitian, Registered
12123 SW 69TH AVE
PORTLAND, OR 97223
Washington County (971) 708-7600
KRISTEN TERVO PT
Physical Therapist
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (717) 087-6009
JENNIFER KEISER
Internal Medicine
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (971) 708-7600
DR. WILLIAM EDWARD WINTER III M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (971) 708-7600
EDWARD HSIA0-KUA CHANG M.D.
Internal Medicine (Hematology & Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Washington County (971) 708-7600

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 Kendall Hall's NPI number?

The NPI number for Kendall Hall is 1790379733. It was assigned to this individual provider in the NPPES registry on February 20, 2021.

Where is Kendall Hall located?

Kendall Hall practices at 12123 SW 69th Ave, Tigard, OR 97223. The listed phone number is (971) 708-7600.

What is Kendall Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kendall Hall enrolled in Medicare?

Yes. Kendall Hall 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 Kendall Hall accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kendall Hall 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.

Is Kendall Hall affiliated with any hospitals?

According to CMS data, Kendall Hall is affiliated with Providence St Vincent Medical Center, Ohsu Hospital And Clinics, Providence Newberg Medical Center, Providence Portland Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Kendall Hall was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.