Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abby Danielle Poulson, PA

Individual provider Physician Assistant · NPI 1942037841

Abby Danielle Poulson, PA is a Physician Assistant in Klamath Falls, Oregon. Qualified in 2024, 2 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2074 S 6th St
Klamath Falls, OR 97601-3372
Phone: (541) 851-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 W 3rd Ave, Junction City, OR 97448-1313 — (541) 998-6750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA222481 (OR)

Record details

NPI number1942037841
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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