Provider Demographics
NPI:1265004204
Name:FLORES, KENDRA LYNN (WHNP)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:LYNN
Last Name:FLORES
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:LYNN
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7650 SW BEVELAND RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8692
Mailing Address - Country:US
Mailing Address - Phone:503-601-3615
Mailing Address - Fax:503-646-1683
Practice Address - Street 1:9701 SW BARNES RD STE 150
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6689
Practice Address - Country:US
Practice Address - Phone:503-734-3535
Practice Address - Fax:503-734-3530
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202108495NP-PP363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500796859Medicaid