5329 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97211-3237 US PECOS Enrolled
Kristin Lois Cummings
Nurse Practitioner (Psych/Mental Health)
- PORTLAND, OR
- Phone: (503)-988-5183
- Last Updated 3/9/2017
Overview
Kristin Lois Cummings is a Nurse Practitioner (Psych/Mental Health) in the PORTLAND area and has over 15 years of experience. Kristin Lois Cummings primary office location is at 5329 NE MARTIN LUTHER KING BLVD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2011 The NPI number is 1013190081 and the information was updated approximately 9 years ago.
Kristin Lois Cummings is affiliated with one medical group in the PORTLAND area, MULTNOMAH COUNTY.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 201040123RN | OR |
| 201250003NP | OR |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 022959 | OR |
| MEDICAID | 096511 | OR |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X | OR | Y |
| Registered Nurse (Psych/Mental Health) - Taxonomy Code 163WP0808X | OR | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20130613000615 |
| PECOS Individual PAC ID: | 8426297961 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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