MONICA K MYKLEBUST (MD) – Family Medicine Physician, NPI 1811086762

MONICA K MYKLEBUST (MD) is a healthcare provider. based in Portland, Oregon. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301081301 (MI). The NPI Number for MONICA K MYKLEBUST (MD) is 1811086762

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MONICA K MYKLEBUST (MD)
NPI
1811086762
Phone
(503) 215-6494
Address
P.O. BOX 3158
Enumeration Date
11 October 2006
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5035824900
Graduation Year
1993 (33 years ago)
PAC ID
2860578705
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20080318000690

Contacts

Secure Messaging
mmyklebust118063@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

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Provider Addresses for MONICA K MYKLEBUST (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Fax: (503) 215-6644

    Type: Mailing

  • Providence Medical Group, 16180, Southeast Sunnyside Road, Happy Valley, Metro, Clackamas County, Oregon, 97015, United States

    SUITE 102

    HAPPY VALLEY, OR 970156301

    Phone: (503) 582-4900

    Fax: (503) 582-4999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-09

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
EVAGELIA BAROS (DO)
Internal MedicineOR
CINDY M FULTON (PA-C)
Physician AssistantOR
LOUIS SAMUELS LIBBY (MD)
-OR
KEVIN J JAMISON (MD)
N E U R O L O G YOR
MS. KIRSTEN LYNNE ROBERTS (F.N.P.)
Nurse PractitionerOR
RACHEL N PLOTINSKY (MD)
Infectious Disease, Internal MedicineOR
ERIC BLAINE KIRKER (MD)
Thoracic SurgeryOR
MRS. JULIA L TORRES (FNP-BC)
Nurse PractitionerOR
SEJAL ASHWIN PATEL (PA-C)
Physician AssistantWA
DR. KATIE B MCCULLOCH (PH.D.)
Clinical PsychologistOR

Reviews

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Frequently asked questions

Can I verify MONICA K MYKLEBUST (MD) with an NPI only?
You can start verification with NPI 1811086762 for MONICA K MYKLEBUST (MD), then check state licensing separately.
Is MONICA K MYKLEBUST (MD) listed as active for patients and plans?
The listing shows MONICA K MYKLEBUST (MD) as active in the NPI system.
What taxonomy line describes MONICA K MYKLEBUST (MD)?
For research purposes, treat MONICA K MYKLEBUST (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MONICA K MYKLEBUST (MD) on a map?
Expect Portland, Oregon as a primary anchor for MONICA K MYKLEBUST (MD) unless the record lists multiple sites.
Is the information about MONICA K MYKLEBUST (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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