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

Geneva Ann Eagon, PA

Individual provider Physician Assistant · NPI 1114533072

Geneva Ann Eagon, PA is a Physician Assistant in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Portland Plastic Surgery Group, LLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1200 NW Naito Pkwy Ste #310
Portland, OR 97209
Phone: (503) 292-9200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114533072
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESOctober 29, 2024
Certification dateAugust 19, 2020
Mailing address1200 Nw Naito Pkwy Suite #310, Portland, OR 97209

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 Portland Plastic Surgery Group, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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