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

Individual provider Physician Assistant · NPI 1467235135

Phong Ly, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Boston University School of Medicine in 2023, 3 years ago. Practices with University Professional Services, a 1,704-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
3
Trained at
Boston University School of Medicine
Licensed in
OR
In the registry since
2023
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

3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-7246
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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 PA218098 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467235135
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address3181 Sw Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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