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

Cord R Keel, PA-C

Individual provider Physician Assistant · NPI 1649671132

Cord R Keel, PA-C is a Physician Assistant in Sherwood, Oregon. Qualified in 2015, 11 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2014
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

16770 SW Edy Rd Ste 102
Sherwood, OR 97140-9679
Phone: (503) 216-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4855 Sw Western Ave, Beaverton, OR 97005-3460 — (503) 813-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1740008 (OR)

Record details

NPI number1649671132
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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