Individual provider Active NPI

Kristyn Van Allen

  • Medical Physician Assistant
  • Woodburn, OR
National Provider Identifier
1770461931
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
105 Arney Rd Ste 130
Woodburn, OR 97071-9472
Phone
(503) 902-3900
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

105 Arney Rd Ste 130
Woodburn, OR 97071-9472

Mailing address

5300 E Main St Apt 181
Hillsboro, OR 97123-6404

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
I20251124000832 OR Practitioner - Physician Assistant 3870085269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

105 Arney Rd
Suite 120
Woodburn, OR 97071-9472
Phone (503) 814-8640

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Jan 5, 2026 Accepting new patients
Salem Health CurrentSince Jan 5, 2026 Accepting new patients
Salem Health Past Accepting new patients

Locations

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

105 Arney Rd
Ste 130
Woodburn, OR 97071
Phone (503) 902-3900

105 Arney Rd
Ste 120
Woodburn, OR 97071
Phone (503) 814-8640

Organizations & group practices 3

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 1

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1770461931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 E MAIN ST APT 181",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARNEY RD STE 130",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719472",
            "telephone_number": "503-902-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALLEN",
        "first_name": "KRISTYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.