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

Jonathan D Fisk, PA-C

Individual provider Surgical Physician Assistant · NPI 1154839785

Jonathan D Fisk, PA-C is a Physician Assistant in Newberg, Oregon. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Oregon.

Years since qualifying
9
Licensed in
MD, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 N Providence Dr Ste 120
Newberg, OR 97132-7582
Phone: (503) 537-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3001 Hospital Dr, Cheverly, MD 20785-1189 — (513) 375-3558

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA210939 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0006675 (MD)

Record details

NPI number1154839785
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2018
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 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 locations3 on file with Medicare