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

Individual provider Physician Assistant · NPI 1376165134

Emily Axelrod, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Oregon.

Years since qualifying
6
Licensed in
MA, OR
In the registry since
2020
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

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-3194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 41 Mall Rd, Burlington, MA 01805-2210 — (781) 744-8000
  • 19648 Wildwood Dr, West Linn, OR 97068-2210 — (503) 984-2748

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA214407 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA7898 (MA)

Record details

NPI number1376165134
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESJune 8, 2023
Certification dateMay 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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