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

Lauren Elizabeth Ciolli, PAC

Individual provider Surgical Physician Assistant · NPI 1568799054

Lauren Elizabeth Ciolli, PAC is a Physician Assistant in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
17
Licensed in
OR, WA
In the registry since
2009
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 Nw Lovejoy St Ste 304, Portland, OR 97210-5100 — (503) 413-5787

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA150467 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA150467 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60120088 (WA)

Record details

NPI number1568799054
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 4, 2009
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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