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

Jacob Peter Hauptman, PA-C

Individual provider Medical Physician Assistant · NPI 1285802850

Jacob Peter Hauptman, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Yale University School of Medicine in 2007, 19 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Connecticut and Oregon.

Years since qualifying
19
Trained at
Yale University School of Medicine
Licensed in
CA, CT, OR
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1321 NE 99th Ave #200
Portland, OR 97220-9436
Phone: (503) 215-4250
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 161825 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA20495 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 002042 (CT)

Record details

NPI number1285802850
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2008
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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