Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jennifer Marie Stager, BS, MMS, PA-C

Individual provider Physician Assistant · NPI 1124210430

MS. Jennifer Marie Stager, BS, MMS, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with South Tabor Family Physicians, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Phone: (503) 261-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124210430
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , MMS , PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2007
Last updated in NPPESSeptember 30, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice South Tabor Family Physicians — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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