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

Kayla Mae Eversole, PA-C

Individual provider Physician Assistant · NPI 1003420795

Kayla Mae Eversole, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
4
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
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

1815 SW Marlow Ave Ste 100
Portland, OR 97225-5185
Phone: (503) 935-8100
Fax: (503) 935-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5920 Ne Ray Cir Ste 220, Hillsboro, OR 97124-6313 — (503) 935-8100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA221668 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 61328609 (WA)

Record details

NPI number1003420795
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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