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

Individual provider Physician Assistant · NPI 1639551468

Mina Mostafavifar, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in New Mexico and Oregon.

Years since qualifying
11
Licensed in
NM, OR
In the registry since
2015
Specialties on file
3
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA202153 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA202153 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA2015-0039 (NM)

Record details

NPI number1639551468
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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