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

Individual provider Physician Assistant · NPI 1205507662

Jessica L Cyphert, PA-C is a Physician Assistant in Gresham, Oregon. Qualified in 2021, 5 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. 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

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone: (503) 666-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Ne 8th St, Gresham, OR 97030-7317 — (503) 988-5155

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA205634 (OR)

Record details

NPI number1205507662
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 25, 2021
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

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
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Gresham