Nurse Practitioner, Gerontology
KIMBERLY CECCARELLI NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609655521 · enumerated 2023-09-28 · record updated 2024-04-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 9135 SW BARNES RD STE 668, PORTLAND, OR, 97225-6683 (503) 216-8250 Fax (971) 282-0116 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 3158, PORTLAND, OR, 97208-3158 (503) 215-6494 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 10016529 OR
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License 10016529 OR
In this directory
OR Washington County Portland Nurse Practitioner, Gerontology
Locations and evidence
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Practice location
PORTLAND, OR, 972256683
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.