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

Michael Rott

Individual provider Physician Assistant · NPI 1609293174

Michael Rott is a Physician Assistant in Portland, Oregon. Qualified in 2013, 13 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

501 N Graham St Ste 580
Portland, OR 97227-2003
Phone: (503) 528-0704
Fax: (503) 528-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA166641 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 166641 (OR)

Record details

NPI number1609293174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2014
Last updated in NPPESNovember 12, 2019
Mailing address300 N Graham St Ste 125, Portland, OR 97227-1683

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Portland