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

Individual provider Medical Physician Assistant · NPI 1558645812

Jenna Smith, PA-C is a Physician Assistant in Clackamas, Oregon. Qualified in 2011, 15 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Virginia.

Years since qualifying
15
Licensed in
OR, VA
In the registry since
2011
Specialties on file
2
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

9290 SE Sunnybrook Blvd Ste 120
Clackamas, OR 97015-6802
Phone: (503) 215-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA165997 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003673 (VA)

Record details

NPI number1558645812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Clackamas