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

Jamie Sue Pease, PA-C

Individual provider Physician Assistant · NPI 1528640174

Jamie Sue Pease, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2021, 5 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
5
Licensed in
OR
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2920 Commercial St SE
Salem, OR 97302-4552
Phone: (541) 641-6053
Fax: (541) 485-9987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2902 Tom Tennant Dr, Woodburn, OR 97071-2828 — (971) 345-4767

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA206023 (OR)

Record details

NPI number1528640174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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