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

Jason John Lines, PAC

Individual provider Surgical Physician Assistant · NPI 1679548416

Jason John Lines, PAC is a Surgical Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

9155 SW Barnes Rd Ste 240
Portland, OR 97225-6625
Phone: (503) 296-4027
Fax: (503) 216-2488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00793 (OR)

Record details

NPI number1679548416
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESOctober 24, 2007

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