Individual provider · Type 1 NPI

Amy Elizabeth Sothern, PA

Surgical Physician Assistant · Portland, OR

NPI number 1891700399 Active

Practice location

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

Call (503) 494-6400 Map

Mailing address

2235 NE 26th Ave
Portland, OR 97212-5016

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00701 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1891700399

Amy Elizabeth Sothern, PA's National Provider Identifier is 1891700399, issued on Jul 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jun 10, 2026.