Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Athena Nicole Konicki, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508509050

Athena Nicole Konicki, MD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Portland, OR

Additional practice locations (1)

  • 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 — (360) 514-7550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD223694 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508509050
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

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