Active NPI
Michela Kenning, O.D.
- Optometrist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3446ATI
- Practice address
- 672 NW Autumncreek Way Apt M303
Beaverton, OR 97006-7789 - Phone
- (314) 304-7484
- NPI assigned
- Jun 18, 2012
- Last updated
- Aug 13, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD.OD.60280003 | WA | |
| Optometrist | 152W00000X | 3446ATI | OR | Primary |
| Optometrist | 152W00000X | 139664 | IA | |
| Optometrist | 152W00000X | 4078 | MN | |
| Optometrist | 152W00000X | OPT-002978 | AZ |
Addresses
Primary practice location
672 NW Autumncreek Way Apt M303
Beaverton, OR 97006-7789
Mailing address
1704 SE 170TH Ave
Vancouver, WA 98683-3445
Phone (314) 304-7484
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3446ATI | OR | MD | Optometrist |
| 3466ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific University | Optometrist | Current | Accepting new patients |
| Pacific University | Optometrist | Current | Accepting new patients |
| Pacific University | Current | Accepting new patients | |
| Innervision Optometric Inc. | Optometrist | Current | Accepting new patients |
| Pacific University | Optometrist | Past | Accepting new patients |
| Pacific University | Optometrist | Past | Accepting new patients |
Locations
2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020
222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060
222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300
1411 SW Morrison St
Ste 310
Portland, OR 97205
8269 SW Wilsonville Rd
Ste G
Wilsonville, OR 97070
Phone (503) 685-9015
Interoperability endpoints
- https://eyetoeyewilsonville.ef.prod.fhir.ema-api.com/fhir/r4/
- mkenning315793@direct.ochin.org
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1558624320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 SE 170TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986833445",
"telephone_number": "314-304-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 NW AUTUMNCREEK WAY APT M303",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067789",
"telephone_number": "314-304-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNING",
"first_name": "MICHELA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD.OD.60280003",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3446ATI",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "139664",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "4078",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.