Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720610694 Individual Practitioner Female Practitioner

Kendra Elizabeth Gaumitz , LPN

Licensed Practical Nurse • Portland, OR

Professional Overview & Biography Verified Profile Summary

Kendra Gaumitz, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Portland, OR. Practice services are available at 10330 SE 32ND AVE STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10330 Se 32nd Ave Ste 110

Portland, OR 972226596

Telephone 5035131300

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
213 Specialists

Practicing in Portland, OR (741 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-10
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201805821LPN

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Osbn
201805821LPN (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Rosalia Sloan , LPN

Licensed Practical Nurse

NPI 1033782867

Licensed Practical Nurse

Rachelle Sherard , LPN

Family Medicine - Geriatric Medicine

NPI 1063140143

Licensed Practical Nurse

Kimberly Amayao , RN

Registered Nurse

NPI 1083259717

Registered Nurse

Tia Delphina , RN

Registered Nurse

NPI 1104503903

Registered Nurse

Renee Williams , RN

Registered Nurse - Case Management

NPI 1124757430

Registered Nurse

Ashley Chan , FNP

Nurse Practitioner - Family

NPI 1235692484

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2020

Registered at 10330 SE 32ND AVE STE 110, PORTLAND, OR 972226596 (Tel: 5035131300)

📍
Updated Business Mailing Address February 10, 2020

Registered at 321 STEELHEAD ST, MOLALLA, OR 970387635 (Tel: 5037325348)

👤
Provider Name / Credentials Updated February 10, 2020

Recorded as KENDRA GAUMITZ, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2020

Licensed Practical Nurse (License #201805821LPN in OR)

🟢
Initial NPI Registration & Enumeration February 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720610694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2020
Last Update: February 10, 2020
Sole Proprietor: No

Mailing Address

321 Steelhead St

Molalla, OR 970387635

Phone: 5037325348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.