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

Individual provider Surgical Physician Assistant · NPI 1376600049

Barry A Jacoshenk, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2003, 23 years ago. Practices with Orthopedic and Sports Medicine Center of Oregon LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Licensed in
OR
In the registry since
2007
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

1515 NW 18th Ave Ste 300
Portland, OR 97209-2516
Phone: (503) 224-8399
Fax: (503) 224-5661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00938 (OR)

Record details

NPI number1376600049
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Orthopedic And Sports Medicine Center Of Oregon Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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