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

Individual provider Physician Assistant · NPI 1457920985

Joshua Constantino Micallef, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2021, 5 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, 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

4805 NE Glisan St Ste 6N40
Portland, OR 97213-2933
Phone: (844) 987-0491
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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 PA223289 (OR)

Record details

NPI number1457920985
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2021
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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 Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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