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

Individual provider Physician Assistant · NPI 1588360176

Makena Suzanne Fowler, PA-C is a Physician Assistant in Portland, Oregon. Practices as a sole proprietor and works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
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

3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-4314
Fax: (503) 346-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2801 N Gantenbein Ave, Portland, OR 97227-1623 — (503) 413-3690
  • 700 Sw Campus Dr, Portland, OR 97239-3107 — (503) 346-0640

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA214820 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588360176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 6, 2023
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

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