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

Madison Marie Mabry, PAC

Individual provider Surgical Physician Assistant · NPI 1194348219

Madison Marie Mabry, PAC 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, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2020
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

5050 NE Hoyt St Ste 340
Portland, OR 97213-2983
Phone: (503) 238-1061
Fax: (503) 238-0841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11000 Sw Stratus St Ste 210, Beaverton, OR 97008-7106 — (503) 238-1061

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA213704 (OR)

Record details

NPI number1194348219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

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
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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