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

Addison Deboer, PA-C

Individual provider Medical Physician Assistant · NPI 1679394126

Addison Deboer, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2025, 1 year ago. Practices with Praxis Health PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4999 Skyline Rd S
Salem, OR 97306-2878
Phone: (503) 364-4005
Fax: (503) 364-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA228955 (OR)

Record details

NPI number1679394126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 17, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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