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

Shannon Fay, PA-C

Individual provider Physician Assistant · NPI 1023177565

Shannon Fay, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2006, 20 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
20
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-3442
Fax: (503) 494-5330
Show map & directions

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

Additional practice locations (1)

  • 435 Lancaster Dr Ne, Salem, OR 97301-2762 — (503) 585-6388

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01170 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA01170 (OR)

Record details

NPI number1023177565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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