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

Individual provider Physician Assistant · NPI 1962389593

Martina Andrea Shannon, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2025, 1 year ago. Practices with Clear Choice Dermatology, a 48-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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

966 12th St SE Ste 130
Salem, OR 97302-2860
Phone: (503) 837-6395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2107 1st St, Eureka, CA 95501-0840 — (707) 273-6395

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962389593
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Clear Choice Dermatology — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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