Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Jordan St Amand, PA-C, MPH

Individual provider Surgical Physician Assistant · NPI 1013581222

Kelsey Jordan St Amand, PA-C, MPH is a Physician Assistant in Portland, Oregon. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2022, 4 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
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.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd # L353
Portland, OR 97239-3098
Phone: (503) 494-4190
Fax: (503) 494-7829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA211583 (OR)

Record details

NPI number1013581222
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPH
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2022 (4 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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