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

Individual provider Physician Assistant · NPI 1336246479

Mr. Ian Clemons, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 1999, 27 years ago. Practices with Virginia Garcia Memorial Health Center, a 88-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
27
Licensed in
OR
In the registry since
2006
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

3500 N Interstate Ave Emergicenter
Portland, OR 97227-1196
Phone: (503) 331-6101
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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 PA00692 (OR)

Record details

NPI number1336246479
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Virginia Garcia Memorial Health Center — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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