KENDALL HALL
NPI 1790379733
Physician Assistant - Medical in Tigard, OR
NPI Status: Active since February 20, 2021
- Individual
- Female
- Years of Experience 4
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KENDALL HALL
This page provides the complete NPI Profile along with additional information for Kendall Hall, a primary care provider established in Tigard, Oregon with a medical specialization in Physician Assistant, focusing in medical and more than 4 years of experience. She graduated from Oregon Health Sciences University School Of Medicine in 2022. The healthcare provider is registered in the NPI registry with number 1790379733 assigned on February 2021. The practitioner's primary taxonomy code is 363AM0700X with license number PA211820 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1790379733
- Provider Name
- KENDALL HALL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12123 SW 69TH AVE TIGARD, OR 97223
- Location Phone
- (971) 708-7600
- Mailing Address
- 1498 SE TECH CENTER PL STE 240 VANCOUVER, WA 98683
- Mailing Phone
- (360) 597-1313
- Medical School Name
- OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-20-2021
- Last Update Date
- 10-07-2024
- Code Navigator
A primary care provider (PCP) like Kendall Hall sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 2730 S Moody Ave
Portland, OR 97201
(503) 494-3633
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA211820
- License State
- OR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kendall Hall is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kendall Hall is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9032571203
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230821000713
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kendall Hall is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
PROVIDENCE ST VINCENT MEDICAL CENTER | 9205 SW BARNES ROAD PORTLAND, OR 97225 | (503) 216-2213 | Acute Care Hospitals | |
LEGACY MERIDIAN PARK MEDICAL CENTER | 19300 SW 65TH AVENUE TUALATIN, OR 97062 | (503) 692-2182 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 9 | 0 | 3 | 7 | 9 | 7 | 3 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 6 | 7 | 18 | 7 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 6 + 7 + 1 + 8 + 7 + 6 + 24 = 77 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 77 = 3 | 3 |
The NPI number 1790379733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1992335848 | CHRISTINA VIERU PA-C Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1942593876 | MARYANN M. SHANGO MD Individual | Internal Medicine (Hematology & Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1134485766 | JOHN CRAMER SCHULER M.D. Individual | Radiology (Radiation Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1437629383 | GAYLE JOHNSON Individual | Physician Assistant (Surgical) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1639611015 | LAURA CHRISTINE WULLSCHLEGER RDN Individual | Dietitian, Registered | 12123 SW 69TH AVE PORTLAND, OR 97223 (971) 708-7600 |
1063474641 | KRISTEN TERVO PT Individual | Physical Therapist | 12123 SW 69TH AVE TIGARD, OR 97223 (717) 087-6009 |
1144684465 | JENNIFER KEISER Individual | Internal Medicine | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1295716496 | DR. WILLIAM EDWARD WINTER III M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1376546309 | EDWARD HSIA0-KUA CHANG M.D. Individual | Internal Medicine (Hematology & Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1619957990 | MICHELE NETH DICKSON ARNP Individual | Nurse Practitioner (Family) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1629071592 | DR. JIM ALAN GOSEWEHR M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1114285301 | CHARLOTTE HAWS PA-C Individual | Physician Assistant (Surgical) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1194040139 | DR. KATHLEEN ALISON DUNHAM M.D. Individual | Surgery (Surgical Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1356667893 | RICHARD A ZINKE M.D. Individual | Internal Medicine (Hematology & Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1538556949 | DAVID WAYNE WINDLER M.D. Individual | Internal Medicine (Hospice and Palliative Medicine) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1750464541 | SARAH F DANIEL PA-C Individual | Physician Assistant | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1790913994 | DR. ANTHONY PHAM M.D. Individual | Internal Medicine (Hematology & Oncology) | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1881924694 | MEGAN KALEY PT, DPT Individual | Physical Therapist | 12123 SW 69TH AVE TIGARD, OR 97223 (310) 273-0877 |
1609173186 | MEGAN LEIGH PEARLMAN Individual | Physician Assistant | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
1841917820 | ABIGAIL LOWE PA Individual | Physician Assistant | 12123 SW 69TH AVE TIGARD, OR 97223 (971) 708-7600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790379733, enumerated in the NPI registry as an "individual" on February 20, 2021
The provider is located at 12123 Sw 69th Ave Tigard, Or 97223 and the phone number is (971) 708-7600
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 4 years of experience. She graduated from Oregon Health Sciences University School Of Medicine in 2022.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): PROVIDENCE ST VINCENT MEDICAL CENTER and LEGACY MERIDIAN PARK MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 20, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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