Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nii O Lamptey Jr., PA-C

Individual provider Physician Assistant · NPI 1316622137

Nii O Lamptey Jr., PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2023, 3 years ago. Practices with Icco LLC, a 133-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
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

2920 Commercial St SE
Salem, OR 97302-4552
Phone: (971) 301-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7217 Spencer Ave Ne, Lacey, WA 98516-3408 — (360) 464-5995
  • 9040 Jackson Ave, Tacoma, WA 98431-5028 — (253) 968-1110

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA228839 (OR)

Record details

NPI number1316622137
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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