Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568529717 Deactivated / Inactive NPI Male Practitioner

Kimo K Heen , PHYSICIAN ASSISTANT

Physician Assistant • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimo Heen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2007
NPI Deactivation Date August 10, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Kimo Heen, PHYSICIAN ASSISTANT was a registered Physician Assistant practicing in Portland, OR. Throughout an active medical career spanning 10 years, Kimo Heen provided care at the practice location at 10101 SE MAIN ST until profile deactivation on 2017-08-10.

Practice Location & Contact Primary Location

Practice Address

10101 Se Main St
1006

Portland, OR 972162455

Telephone 5032534000
Fax 5032534002
Associated Practice Facility / Clinic
🏢 Carter Noland Md Pc Facility NPI 1013923788

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
23.8% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00808

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1598822835

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 10, 2017

Record deactivated on August 10, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10101 SE MAIN ST, 1006, PORTLAND, OR 972162455 (Tel: 5032534000)

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Updated Business Mailing Address July 08, 2007

Registered at 10101 SE MAIN ST, 1006, PORTLAND, OR 972162455 (Tel: 5032534000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KIMO HEEN, PHYSICIAN ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA00808 in OR)

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Initial NPI Registration & Enumeration January 03, 2007

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: 1568529717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: July 08, 2007
Deactivation Date: August 10, 2017

Mailing Address

10101 Se Main St, 1006

Portland, OR 972162455

Phone: 5032534000

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.