Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amie Bates, PA-C

Individual provider Physician Assistant · NPI 1508407941

Amie Bates, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
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

1040 NW 22nd Ave # LL030
Portland, OR 97210-3057
Phone: (502) 413-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA195888 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1508407941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESNovember 15, 2019
Mailing addressPo Box 3808, Portland, OR 97208-3808

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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