Individual provider Active NPI

Kathi Norman, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1679681035
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA156252 Issued in OR
Practice address
703 NE Hancock St
Portland, OR 97212-3955
Phone
(503) 230-9875
Fax
(503) 331-3441
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103873 FL
Physician Assistant 363A00000X PA156252 OR Primary

Addresses

Primary practice location

703 NE Hancock St
Portland, OR 97212-3955

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502
Phone (971) 217-9008

Other practice location 1

328 Summerwood Dr
Panama City Beach, FL 32413-5721
Phone (850) 381-4942

Other practice location 2

3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone (503) 386-9516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000559 OR Practitioner - Physician Assistant 7810938123 Reassigns benefits to 2 organizations
I20150101000013 WA Practitioner - Physician Assistant 7810938123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

21430 SW Langer Farms Pkwy
Suite 158
Sherwood, OR 97140-9141
Phone (971) 808-0655

3 Monroe Pkwy
Suite X
Lake Oswego, OR 97035-8875
Phone (503) 679-3748

4800 SW 76TH Ave
Portland, OR 97225-1804
Phone (971) 808-0665

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
970TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Jan 17, 2018 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jun 1, 2012 Accepting new patients
Positive Medicine LLC Physician Assistant CurrentSince Dec 21, 2025 Accepting new patients
Marion Physician Billing LLC Past Accepting new patients
Legacy Mount Hood Medical Center Past Accepting new patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients
Blount Orthopaedic Associates PA PastSince Aug 1, 1996 Accepting new patients

Locations

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

9361 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 457-4301

3 Monroe Pkwy
Ste X
Lake Oswego, OR 97035
Phone (503) 679-3748

1900 McLoughlin Blvd
Ste 127
Oregon City, OR 97045
Phone (503) 305-6159

1900 McLoughlin Blvd
Ste 67
Oregon City, OR 97045

4800 SW 76th Ave
Portland, OR 97225
Phone (971) 808-0665

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

3942 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 234-2070

7515 Falcon Crest Dr
#200
Redmond, OR 97756

475 S Columbia River Hwy
Ste 105
Saint Helens, OR 97051
Phone (503) 397-7119

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

500 N Columbia River Hwy
Ste 7
Saint Helens, OR 97051
Phone (503) 397-0471

21430 SW Langer Farms Pkwy
Ste 158
Sherwood, OR 97140
Phone (971) 808-0655

21900 Willamette Dr
Ste 209
West Linn, OR 97068
Phone (971) 274-0038

3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

13009 NE Highway 99
Ste 109
Vancouver, WA 98686
Phone (360) 667-5840

8013 NE 6th Ave
Vancouver, WA 98665
Phone (360) 787-4151

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.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1679681035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144502",
            "telephone_number": "971-217-9008",
            "fax_number": "571-260-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NE HANCOCK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123955",
            "telephone_number": "503-230-9875",
            "fax_number": "503-331-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Summerwood Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324135721",
            "country_code": "US",
            "telephone_number": "850-381-4942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3942 SE Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972145242",
            "country_code": "US",
            "telephone_number": "503-386-9516",
            "fax_number": "503-386-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KATHI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103873",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA156252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.