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

Individual provider Medical Physician Assistant · NPI 1639412117

Anderson F. Stengrim, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2013
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

2801 N Gantenbein Ave PICU
Portland, OR 97227-1623
Phone: (218) 205-7019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 169034 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639412117
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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