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

Cody Ryan Cantrell, PAC

Individual provider Physician Assistant · NPI 1285219428

Cody Ryan Cantrell, PAC is a Physician Assistant in Springfield, Oregon. Qualified in 2021, 5 years ago. Practices with Virtual Visit LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2445 Beverly St Ste B
Springfield, OR 97477-1910
Phone: (541) 780-6654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA210353 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1285219428
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address2445 Beverly St Ste B, Springfield, OR 97477-1910

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Virtual Visit Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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