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Contact Information

KIMBERLY C GRADY, PA-C
5050 NE HOYT ST STE 256
PORTLAND, OR97213-2982
 Phone: 503-239-7767
 Fax: 503-215-6897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY C GRADY · (Female)

NPI # 1013466549
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/26/2016
Last updated 11/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # PA179181
Hospital affiliation(s)
  • PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL - (Critical Access)
    810 12TH STREET
    HOOD RIVER, OR 97031
  • PROVIDENCE NEWBERG MEDICAL CENTER - (Acute Care)
    1001 PROVIDENCE DRIVE
    NEWBERG, OR 97132
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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