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

Individual provider Physician Assistant · NPI 1699233965

Mr. Zachary Joel Stevens, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Oregon.

Years since qualifying
8
Licensed in
MN, OR
In the registry since
2019
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

4400 NE Halsey St Ste 102
Portland, OR 97213-1545
Phone: (503) 962-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1230 E Main St, Mankato, MN 56001-5066 — (952) 738-2358

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA204810 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 12945 (MN)

Record details

NPI number1699233965
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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