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

Jennifer K. Van Atta, PA

Individual provider Physician Assistant · NPI 1295818383

Jennifer K. Van Atta, PA is a Physician Assistant in Tigard, Oregon. Qualified in 2006, 20 years ago. Practices with Columbia Gorge Medical Center PC, a 12-clinician group. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166
Phone: (503) 639-6002
Fax: (503) 639-1403
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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 PA01150 (OR)

Record details

NPI number1295818383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJanuary 25, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Columbia Gorge Medical Center Pc — 12 clinicians
Accepts Medicare assignment Not indicated

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