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

Individual provider Physician Assistant · NPI 1649562679

Jennipher K. Vallery, PA-C is a Physician Assistant in Newberg, Oregon. Qualified in 2010, 16 years ago. Practices with Crm Physicians LLC, a 58-clinician group and accepts Medicare assignment. Licensed in North Carolina, Nevada and Oregon.

Years since qualifying
16
Licensed in
NC, NV, OR
In the registry since
2011
Specialties on file
3
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

1840 Portland Rd
Newberg, OR 97132-1847
Phone: (888) 227-3312
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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 PA165170 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 0010-02887 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA1269 (NV)

Record details

NPI number1649562679
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2011
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Crm Physicians Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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