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

Melanie Grace Mix, PAC

Individual provider Surgical Physician Assistant · NPI 1922588508

Melanie Grace Mix, PAC is a Physician Assistant in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

501 N Graham St Ste 420
Portland, OR 97227
Phone: (503) 288-7303
Fax: (503) 288-7306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1130 Nw 22nd Ave Ste 400, Portland, OR 97210-2971 — (503) 413-6722
  • 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 — (503) 943-3265
  • 10000 Se Main St Ste 342, Portland, OR 97216-2470 — (503) 232-5020
  • 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062-7745 — (503) 692-4820

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA186897 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA186897 (OR)

Record details

NPI number1922588508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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