Kristine Roesen, M.D.
Kristine Roesen, M.D. is an Obstetrics & Gynecology Physician in Portland, OR, registered under NPI 1962644005.
Getting there
The practice address on file is 2801 N GANTENBEIN AVE LEGACY HEALTH, Portland, OR 97227. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD164090 | OR | Obstetrics & Gynecology Physician primary |
This provider holds licence MD164090 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Obstetrics/gynecology
- PAC ID
- 5597902122
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Oregon | I20140107000688 | Practitioner - Obstetrics/gynecology |
| Washington | I20140107000831 | Practitioner - Obstetrics/gynecology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. There are 2 separate enrolment records across 2 states (OR, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Obstetrics & Gynecology covers
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1962644005 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 6, 2009 |
| Last updated | Sep 27, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
2801 N GANTENBEIN AVE LEGACY HEALTH Portland, OR 97227 (503) 413-4278 Fax (503) 413-5222 |
| Mailing address |
PO BOX 3777 LEGACY HEALTH Portland, OR 97208 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 6 | 4 | 4 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 3 | 4 | 8 | 0 | 0 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.