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

Mr. Alexander John Nydahl, PA-C

Individual provider Medical Physician Assistant · NPI 1891105045

Mr. Alexander John Nydahl, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2014
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 # BTE119 Ohsu Division OF Hospital Medicine
Portland, OR 97239-3011
Phone: (503) 494-1164
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA172286 (OR)

Record details

NPI number1891105045
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 28, 2014
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 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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