Individual provider Active NPI

Kim Barclay Webster, M.D., P.C

  • Specialist
  • Portland, OR
National Provider Identifier
1174591341
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15098 Issued in OR
Practice address
2525 NW Lovejoy St
Ste 408
Portland, OR 97210-2859
Phone
(503) 973-5545
Fax
(503) 973-5541
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15098 OR Primary

Addresses

Primary practice location

2525 NW Lovejoy St
Ste 408
Portland, OR 97210-2859

Mailing address

2525 NW Lovejoy St
Ste 408
Portland, OR 97210-2859
Phone (503) 973-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15098ORMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174591341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST",
            "address_2": "STE 408",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102859",
            "telephone_number": "503-973-5545",
            "fax_number": "503-973-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST",
            "address_2": "STE 408",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102859",
            "telephone_number": "503-973-5545",
            "fax_number": "503-973-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "KIM",
        "middle_name": "BARCLAY",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "15098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.