Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Lynn Mencos, PA-C, MSPAS

Individual provider Physician Assistant · NPI 1548800097

Katie Lynn Mencos, PA-C, MSPAS is a Physician Assistant in Portland, Oregon. Qualified in 2019, 7 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
7
Licensed in
OR
In the registry since
2020
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

5050 NE Hoyt St Ste 240
Portland, OR 97213-2981
Phone: (503) 215-6480
Fax: (503) 215-6469
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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 PA196074 (OR)

Record details

NPI number1548800097
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MSPAS
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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