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

Alexandra Conner, PA

Individual provider Physician Assistant · NPI 1417265075

Alexandra Conner, PA is a Physician Assistant in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
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

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Phone: (503) 261-7210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417265075
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address10803 Se Cherry Blossom Dr, Portland, OR 97216-3107

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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