Individual provider · Type 1 NPI

Stephanie McMahon, PA

Medical Physician Assistant · Portland, OR

NPI number 1649944737 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-5058 Map

Fax (503) 494-1552

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 6924 NE Sandy Blvd, Portland, OR 97213-5256 · (503) 660-4445

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA206717 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1649944737

Stephanie McMahon, PA's National Provider Identifier is 1649944737, issued on Aug 3, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2026.