Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sam Nguyen, PA-C

Individual provider Physician Assistant · NPI 1386046555

Sam Nguyen, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with David P Larson MD LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2014
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

12900 NE Rose Pkwy
Portland, OR 97230-1550
Phone: (503) 841-1379
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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 PA174721 (OR)

Record details

NPI number1386046555
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 19, 2014
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

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 David P Larson Md Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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