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

Individual provider Physician Assistant · NPI 1720553522

Joshua Ryan Nicholson, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
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

1111 NE 99th Ave Ste 301
Portland, OR 97220-9442
Phone: (503) 963-2707
Fax: (503) 963-2802
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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 PA190184 (OR)

Record details

NPI number1720553522
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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