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

Ethan Gladhill

Individual provider Physician Assistant · NPI 1992587406

Ethan Gladhill is a Physician Assistant in Gresham, Oregon. Qualified in 2024, 2 years ago. Practices with Legacy Mount Hood Medical Center, a 58-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

24988 SE Stark St Ste 220
Gresham, OR 97030-8324
Phone: (503) 674-1580
Fax: (503) 674-1581
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 24988 Se Stark St Ste 220, Gresham, OR 97030 — (503) 674-1580

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA223756 (OR)

Record details

NPI number1992587406
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing addressPo Box 4365, Portland, OR 97208-4365

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Legacy Mount Hood Medical Center — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Gresham