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

Individual provider Physician Assistant · NPI 1679819239

Shea Mertens Deklotz, PA-C is a Physician Assistant in Portland, Oregon. Graduated from George Washington University School of Medicine in 2012, 14 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
14
Trained at
George Washington University School of Medicine
Licensed in
OR
In the registry since
2012
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) 494-4314
Fax: (503) 346-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 8th Ave Ste 200, West Linn, OR 97068-4657 — (503) 512-1212

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA159893 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA159893 (OR)

Record details

NPI number1679819239
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2012
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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