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

Amanda Reynholds

Individual provider Medical Physician Assistant · NPI 1932788403

Amanda Reynholds is a Physician Assistant in Portland, Oregon. Graduated from University of Southern California Keck School of Medicine in 2021, 5 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
5
Trained at
University of Southern California Keck School of Medicine
Licensed in
OR
In the registry since
2021
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6594
Fax: (503) 494-4285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Commercial St Se Ste 130, Salem, OR 97301-0060 — (503) 485-4787

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA204143 (OR)

Record details

NPI number1932788403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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