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

Mr. Jurandir B De Menezes Jr., PA-C

Individual provider Surgical Physician Assistant · NPI 1164462990

Mr. Jurandir B De Menezes Jr., PA-C is a Physician Assistant in Corvallis, Oregon. Qualified in 2004, 22 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
22
Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3615 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3771
Phone: (541) 768-5930
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01048 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60041664 (WA)

Record details

NPI number1164462990
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Corvallis