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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255066130

Lin Juan Li, PA-C is a Physician Assistant in Clackamas, Oregon. Qualified in 2023, 3 years ago. Practices with Portland Adventist Medical Center, a 272-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2022
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

10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705
Phone: (503) 659-0880
Fax: (503) 513-7425
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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 PA216431 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255066130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2022
Last updated in NPPESDecember 26, 2023
Certification dateDecember 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Portland Adventist Medical Center — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Clackamas