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

Audrey Rayne Anderson, PA-C

Individual provider Medical Physician Assistant · NPI 1366065427

Audrey Rayne Anderson, PA-C is a Physician Assistant in Beaverton, Oregon. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475
Phone: (503) 216-8820
Show map & directions

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

Additional practice locations (1)

  • 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 — (503) 418-4222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA213477 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA213477 (OR)

Record details

NPI number1366065427
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2020
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
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
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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