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

Cassandra Smith, PA

Individual provider Physician Assistant · NPI 1093357378

Cassandra Smith, PA is a Physician Assistant in Forest Grove, Oregon. Qualified in 2019, 7 years ago. Practices with Timothy J Gray DO LLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
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

1909 Mountain View Ln Ste 200
Forest Grove, OR 97116-2894
Phone: (503) 359-4773
Fax: (503) 359-3809
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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 PA195867 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1093357378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1909 Mountain View Ln Ste 200, Forest Grove, OR 97116-2894

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Timothy J Gray Do Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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