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

Shondell Diaz

Individual provider Medical Physician Assistant · NPI 1376978825

Shondell Diaz is a Physician Assistant in Portland, Oregon. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2013
Specialties on file
4
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Practice location Address checks out

3705 SE Cesar Chavez Blvd
Portland, OR 97202-1704
Phone: (206) 785-1015
Fax: (206) 785-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence PA164846 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA164846 (OR)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence PA164846 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA164846 (OR)

Record details

NPI number1376978825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2013
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address3705 Se Cesar Chavez Blvd, Portland, OR 97202-1704

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portland