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

Julia Kathaleen Shankle, PA-C

Individual provider Medical Physician Assistant · NPI 1609581693

Julia Kathaleen Shankle, PA-C is a Physician Assistant in Astoria, Oregon. Graduated from Nova Southeastern College of Osteo Medicine in 2022, 4 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
4
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL, OR
In the registry since
2023
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

2120 Exchange St Ste 111
Astoria, OR 97103-3366
Phone: (407) 415-6986
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA214874 (OR)
Medical Physician Assistant Taxonomy 363AM0700X (FL)

Record details

NPI number1609581693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 16, 2023
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2022 (4 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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