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

Amy L Ullan, PA

Individual provider Physician Assistant · NPI 1356516314

Amy L Ullan, PA is a Physician Assistant in Salem, Oregon. Qualified in 2001, 25 years ago. Practices with Dermatology Clinic PC, a 13-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Licensed in
OR
In the registry since
2008
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

2441 Grear St NE
Salem, OR 97301-2749
Phone: (503) 588-0469
Fax: (503) 566-2063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00780 (OR)

Record details

NPI number1356516314
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 29, 2008
Last updated in NPPESApril 29, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Dermatology Clinic Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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