Kirin N Palmer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD167618 Issued in OR

Practice address

15405 SW 116TH Ave Ste 116
King City, OR 97224-2600

Phone

(503) 420-8667

Fax

(971) 512-3246

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pjp-records@org136.direct.charmhealth.com

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.

• Pure Joy Pediatrics LLC

  • Pediatrics Physician
  • King City, OR
  • NPI 1376265256
  NPD Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1851558563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NW ORCHARD DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296256",
            "telephone_number": "503-420-8667",
            "fax_number": "971-512-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 116",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242600",
            "telephone_number": "503-420-8667",
            "fax_number": "971-512-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KIRIN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD167618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD21148",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Martel
• McCrae Management & Investments, LTD. (NewSound Hearing Aid Centers)
• Anthony Morant, RPH
• NS Hearing Network (Willoughby Hearing)
• One Physical Therapy LLC
• Vaidahi Patel
• Deborah Pham, RPH
• Pure Joy Pediatrics LLC
• Zhuoyuan Qian, DPT
• Susan Robens, MA/MS LPC CT

• Pediatrics Physician in King City, OR
• Providers in King City, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.