Kimberly Anne Kumiko Portch, PA-C
Physician Assistant in Spokane, WA. Individual provider (NPI-1).
NPI number1164058277
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1164058277
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Anne Kumiko Portch
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2020
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 61077701 | WA | Yes |
| 363A00000X | Physician Assistant | PA-1969 | ID |
Practice location
212 E Central Ave Ste 335Spokane, WA 99208-6289
Phone 509-482-2232
Mailing address
Po Box 31001-4114Pasadena, CA 91110-0001
Phone 866-747-2455
Other practice locations
13424 E Mission Ave
Spokane Valley, WA 99216-2759
Spokane Valley, WA 99216-2759
Phone 509-822-4200
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