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

Individual provider Medical Physician Assistant · NPI 1083635916

Kenneth Lee Reckard, PA-C is a Physician Assistant in Tualatin, Oregon. Qualified in 2005, 21 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
21
Licensed in
OR
In the registry since
2006
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

19250 SW 90th Ave
Tualatin, OR 97062-7585
Phone: (503) 692-3750
Fax: (503) 691-2324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 879 N Providence Dr, Newberg, OR 97132-7563 — (503) 692-3750

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01082 (OR)

Record details

NPI number1083635916
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Tualatin