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

Tiffany Petterborg, PA-C

Individual provider Basic Emergency Medical Technician · NPI 1457841397

Tiffany Petterborg, PA-C is a Physician Assistant in Hillsboro, Oregon. Qualified in 2025, 1 year ago. Practices with Ashley Valley Physician Practice LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5289 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551
Phone: (971) 353-4925
Fax: (833) 450-6378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA221939 (OR)
Basic Emergency Medical Technician Taxonomy 146N00000X

Record details

NPI number1457841397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ashley Valley Physician Practice Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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