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

Individual provider Medical Physician Assistant · NPI 1457519829

Mr. Sean Robert Cushing, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2007, 19 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
19
Licensed in
CA, OR
In the registry since
2008
Specialties on file
2
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

10123 SE Market St
Portland, OR 97216-2532
Phone: (503) 251-6168
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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 PA 153108 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 19589 (CA)

Record details

NPI number1457519829
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2008
Last updated in NPPESDecember 12, 2016
Mailing address5806 Ne 23rd Ave, Portland, OR 97211-2710

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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