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

Brent Demanby, PA-C

Individual provider Physician Assistant · NPI 1417547555

Brent Demanby, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Rush Medical College of Rush University in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Oregon.

Years since qualifying
6
Trained at
Rush Medical College of Rush University
Licensed in
IL, OR
In the registry since
2021
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 E 68th St, New York, NY 10065-4870 — (212) 746-5454

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA213402 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 1180085 (IL)

Record details

NPI number1417547555
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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