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

Hannah Mickelson, PA

Individual provider Medical Physician Assistant · NPI 1609439983

Hannah Mickelson, PA is a Physician Assistant in Sherwood, Oregon. Qualified in 2018, 8 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
8
Licensed in
OR, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

16770 SW Edy Rd Ste 102
Sherwood, OR 97140-9679
Phone: (503) 216-9600
Show map & directions

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

Additional practice locations (1)

  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA214103 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4651 (WI)

Record details

NPI number1609439983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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