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

Stephanie Warye, MPAS, PA-C

Individual provider Physician Assistant · NPI 1265749188

Stephanie Warye, MPAS, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with Modern Nose Clinic LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Pennsylvania.

Years since qualifying
17
Licensed in
OR, PA
In the registry since
2010
Specialties on file
3
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

2228 NW Pettygrove St Ste 150
Portland, OR 97210-2761
Phone: (032) 885-2015
Fax: (503) 288-0151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA153224 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA153224 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA054088 (PA)

Record details

NPI number1265749188
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2010
Last updated in NPPESSeptember 2, 2023
Certification dateSeptember 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Modern Nose Clinic Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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