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

Alexis Marie Amatisto, DO

Individual provider Internal Medicine Physician · NPI 1386263580

Alexis Marie Amatisto, DO is an Internal Medicine in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

9205 SW Barnes Rd
Portland, OR 97225-6603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4805 Ne Glisan St, Portland, OR 97213-2933 — (503) 215-2392

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO224617 (OR)

Record details

NPI number1386263580
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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