Active NPI
Kimberlynn Michelle Heller, D.O.
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO27720
- Practice address
- 5050 NE Hoyt St Ste 362
Portland, OR 97213-2983 - Phone
- (503) 239-6800
- Fax
- (503) 239-0006
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO27720 | OR | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | OP70102157 | WA |
Addresses
Primary practice location
5050 NE Hoyt St Ste 362
Portland, OR 97213-2983
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other practice location 1
5050 NE Hoyt St Ste 353
Portland, OR 97213-2983
Phone (503) 239-6800
Other practice location 2
900 NE 139th St Ste 206
Vancouver, WA 98685-2519
Phone (360) 487-1360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346451770 | Medicaid | WA | |
| 006321 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cc_otoc_obgyn_east_front_desk_pool12223215@or.providencedirect.org | The Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4805 NE Glisan
Portland, OR 97213-2933
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
5050 NE Hoyt St
Portland, OR 97213-2983
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO27720 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
5050 NE Hoyt St
Ste 362
Portland, OR 97213
Phone (503) 232-7000
847 NE 19th Ave
Ste 300
Portland, OR 97232
5050 NE Hoyt St
Ste 353
Portland, OR 97213
Phone (503) 230-2833
Interoperability endpoints
- kheller132848@oc.providencedirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1346451770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 362",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132983",
"telephone_number": "503-239-6800",
"fax_number": "503-239-0006"
}
],
"practiceLocations": [
{
"address_1": "5050 NE Hoyt St Ste 353",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132983",
"country_code": "US",
"telephone_number": "503-239-6800",
"fax_number": "503-239-0006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 NE 139th St Ste 206",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986852519",
"country_code": "US",
"telephone_number": "360-487-1360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELLER",
"first_name": "KIMBERLYNN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "DO27720",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "OP70102157",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346451770",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006321",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cc_otoc_obgyn_east_front_desk_pool12223215@or.providencedirect.org",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "5050 NE Hoyt St Ste 362",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132983",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.