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

Individual provider Family Medicine Physician · NPI 1255954277

Nicole L Dane, PA-C is a Physician Assistant in Canby, Oregon. Qualified in 2022, 4 years ago. Practices with Silverton Health, a 146-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2020
Specialties on file
3
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

345 N Grant St
Canby, OR 97013-3689
Phone: (503) 266-2066
Fax: (503) 263-8719
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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 PA211194 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA211194 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA211194 (OR)

Record details

NPI number1255954277
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Silverton Health — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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