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

Heather Jennings

Individual provider Surgical Physician Assistant · NPI 1891280632

Heather Jennings is a Physician Assistant in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

300 N Graham St Ste 125
Portland, OR 97227-1683
Phone: (503) 413-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 — (541) 222-8333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA187607 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA187607 (OR)

Record details

NPI number1891280632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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 Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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