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

Individual provider Physician Assistant · NPI 1356694350

Thomas Robert Stassen, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2012, 14 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
14
Licensed in
OR, WA
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

5308 N Lombard St
Portland, OR 97203-4218
Phone: (888) 227-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61117345 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA157168 (OR)

Record details

NPI number1356694350
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2012
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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