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

Donald L Mulconrey, PA-C

Individual provider Neurological Surgery Physician · NPI 1265640833

Donald L Mulconrey, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2006, 20 years ago. Practices with Robert L Tatsumi MD PC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
20
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.

See every abbreviation used in this directory →

Practice location Address checks out

9155 SW Barnes Rd Ste 210
Portland, OR 97225-6629
Phone: (503) 546-3503
Fax: (503) 546-3507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence PA01224 (OR)

Record details

NPI number1265640833
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJanuary 25, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Robert L Tatsumi Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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