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

Jake Grossman

Individual provider Orthopaedic Surgery Physician · NPI 1043833189

Jake Grossman is a Physician Assistant in Tillamook, Oregon. Qualified in 2022, 4 years ago. Practices with Northwest Medical Foundation of Tillamook, a 80-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2020

Practice location Address checks out

1100 3rd St
Tillamook, OR 97141-3402
Phone: (503) 842-5546
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence PA213489 (OR)

Record details

NPI number1043833189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2020
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address1100 3rd St, Tillamook, OR 97141-3402

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northwest Medical Foundation Of Tillamook — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount