Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Makkedah-Satori Marielove Emanuel, PA-C

Individual provider Physician Assistant · NPI 1467900423

Makkedah-Satori Marielove Emanuel, PA-C is a Physician Assistant in Lake Oswego, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2018, 8 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Texas.

Years since qualifying
8
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR, TX
In the registry since
2016
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

4823 Meadows Rd Ste 127
Lake Oswego, OR 97035-2622
Phone: (888) 227-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1919 Nw Lovejoy St, Portland, OR 97209-1503 — (503) 414-5661
  • 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 — (806) 744-7223

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA189964 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA16324 (TX)

Record details

NPI number1467900423
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Oswego