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

Individual provider Medical Physician Assistant · NPI 1275803462

Tara Pemberton, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2011, 15 years ago. Practices with James W Baker MD LLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012
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

9495 SW Locust St Ste A & E
Portland, OR 97223-6683
Phone: (503) 505-5937
Fax: (503) 505-5922
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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

Record details

NPI number1275803462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2012
Last updated in NPPESAugust 20, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice James W Baker Md Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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