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

Individual provider Physician Assistant · NPI 1104356088

Ryan D Stauffer, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Tuality Medical Group LLC, a 289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Pennsylvania.

Years since qualifying
11
Licensed in
OR, PA
In the registry since
2017
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-4314
Fax: (503) 346-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA211395 (OR)
Physician Assistant Taxonomy 363A00000X · Licence MA000813L (PA)

Record details

NPI number1104356088
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tuality Medical Group Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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