Physician Assistant, Surgical
ELAN KENNEDY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528499910 · enumerated 2013-12-10 · record updated 2021-04-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 3181 SW SAM JACKSON PARK RD., MAIL CODE L353, OHSU, DIVISION OF CARDIOTHORACIC SURGERY, PORTLAND, OR, 97239 (503) 494-7820 Google Maps Apple Maps OpenStreetMap
- Mailing address 3181 SW SAM JACKSON PARK RD., MAIL CODE L353, OHSU, DIVISION OF CARDIOTHORACIC SURGERY, PORTLAND, OR, 97239 (503) 494-7820 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · License 055-0031496 VT
- Physician Assistant, Surgical 363AS0400X · Primary
In this directory
Locations and evidence
-
Practice location
PORTLAND, OR, 97239
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.