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

Jonathan Reuel Van Horn, PAC

Individual provider Surgical Physician Assistant · NPI 1992798060

Jonathan Reuel Van Horn, PAC is a Physician Assistant in Portland, Oregon. Qualified in 2002, 24 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
24
Licensed in
OR, WA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

300 N Graham St Ste 125
Portland, OR 97227-1683
Phone: (503) 413-3714
Fax: (503) 413-2061
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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 PA00833 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00833 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA10004741 (WA)

Record details

NPI number1992798060
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESNovember 19, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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