Kenneth G Pippus, MD - Surgery in Portland, OR

Kenneth G Pippus, MD is a Surgery - Pediatric Surgery physician based in Portland, Oregon. Kenneth G Pippus is licensed to practice in Oregon (license number MD152536) and his current practice location is 9427 Sw Barnes Rd Ste 395, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 216-6050.

NPI number for Kenneth G Pippus is 1801982764 and his current mailing address is Po Box 3158, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801982764.

Contact Information

Kenneth G Pippus, MD
9427 Sw Barnes Rd Ste 395,
Portland, OR 97225-6652
(503) 216-6050
(503) 216-8658

Map and Direction




Physician's Profile

Full NameKenneth G Pippus
GenderMale
SpecialitySurgery - Pediatric Surgery
Location9427 Sw Barnes Rd Ste 395, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801982764
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 03/24/2021

Medical Identifiers

Medical identifiers for Kenneth G Pippus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801982764NPI-NPPES
500624953MedicaidOR
44331282MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 41464 (Colorado)Secondary
2086S0120XSurgery - Pediatric Surgery MD152536 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth G Pippus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth G Pippus, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494
Kenneth G Pippus, MD
9427 Sw Barnes Rd Ste 395,
Portland, OR 97225-6652

Ph: (503) 216-6050

Reviews and Comments


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