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

Samuel Rogers

Individual provider Physician Assistant · NPI 1023501491

Samuel Rogers is a Physician Assistant in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7481
Fax: (503) 494-0822
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA195734 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA195734 (OR)

Record details

NPI number1023501491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland