Individual provider Active NPI

Kendra M Underhill, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1598190274
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA164985 Issued in OR
Practice address
6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone
(503) 300-4111
Fax
(503) 954-2122
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA164985 OR Primary

Addresses

Primary practice location

6924 NE Sandy Blvd
Portland, OR 97213-5256

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

18040 SW Lower Boones Ferry Rd Ste 100
Tigard, OR 97224-7259
Phone (503) 216-0700

Other practice location 2

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005-1342
Phone (503) 300-4111

Other practice location 3

7215 SE Milwaukie Avenue
Portland, OR 97202-5256
Phone (503) 300-4111

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124001472 OR Practitioner - Physician Assistant 3678701448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10670 NE Cornell Rd
Hillsboro, OR 97124-9221

12442 SW Scholls Ferry Rd
Suite 100
Tigard, OR 97223-0803
Phone (503) 215-9900

1321 NE 99TH Ave
Suite 100
Portland, OR 97220-9437
Phone (503) 215-9900

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

16770 SW Edy Rd
Suite 102
Sherwood, OR 97140-9679
Phone (503) 216-9600

200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (203) 263-9500

5050 NE Hoyt St
Suite 454
Portland, OR 97213-2984
Phone (503) 215-6405

9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince May 5, 2025 Accepting new patients
Icco, LLC CurrentSince Nov 12, 2013 Accepting new patients
Pacific Crest Childrens Urgent Care LLC CurrentSince Jan 7, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 5, 2025 Accepting new patients
Urgent Care NW Gresham PC PastSince Mar 28, 2013 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Northwest Cancer Specialists PC PastSince Jul 23, 2023 Accepting new patients

Locations

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 300-4111

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

16180 SE Sunnyside Rd
Ste 102
Happy Valley, OR 97015
Phone (503) 582-4900

10670 NE Cornell Rd
Ste 101
Hillsboro, OR 97124
Phone (503) 215-9360

7305 SE Circuit Dr
Ste 180
Hillsboro, OR 97129
Phone (971) 501-4930

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

6924 NE Sandy Blvd
Portland, OR 97213
Phone (503) 300-4111

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

7215 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 300-4111

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

16770 SW Edy Rd
Ste 102
Sherwood, OR 97140
Phone (503) 215-9600

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

18040 SW Lower Boones Ferry Rd
Ste 100
Tigard, OR 97224
Phone (503) 216-0624

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1598190274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135256",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18040 SW Lower Boones Ferry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247259",
            "country_code": "US",
            "telephone_number": "503-216-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 SW Cedar Hills Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051342",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7215 SE Milwaukie Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972025256",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERHILL",
        "first_name": "KENDRA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA164985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.