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

Mary Ellen Spencer, PA-C

Individual provider Physician Assistant · NPI 1124619283

Mary Ellen Spencer, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
6
Licensed in
NY, OR
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-1678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-6500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA217576 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 025656 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 025656 (NY)

Record details

NPI number1124619283
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESApril 9, 2024
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 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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