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

Maria Grompe Moredock, PA

Individual provider Physician Assistant · NPI 1063961282

Maria Grompe Moredock, PA is a Physician Assistant in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2018, 8 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-5856
Fax: (503) 494-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2730 Sw Moody Ave, Portland, OR 97201-5042 — (503) 494-3633
  • 3101 Sw Sam Jackson Park Road, Portland, OR 97239 — (503) 221-3424

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA190467 (OR)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063961282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 29, 2016
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 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 University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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