Michael Anthony St Amand, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA213270 Issued in OR

Practice address

301 NE Knott St
Portland, OR 97212-3014

Phone

(503) 253-3910

Fax

(503) 253-4297

NPI assigned

May 17, 2018

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Oregon Health Sciences University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knott Street Dermatology PCGroup PAC ID 8325050859, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFJBAA/Endpoint/EFJBAA
• Direct secure messaging: mstamand2537198@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knott Street Dermatology PC

  • Specialist
  • Portland, OR
  • NPI 1891741864
  Medicare reassignment Care Compare group
• Autism Connections, Inc

  dba Behavior Connections

  • Behavior Analyst
  • San Luis Obispo, CA
  • NPI 1841552304
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1023508751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123014",
            "telephone_number": "503-253-3910",
            "fax_number": "503-253-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123014",
            "telephone_number": "503-253-3910",
            "fax_number": "503-253-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST AMAND",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA213270",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500811653",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222166",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Suparatana Srisethnil, PT
• Amar Srivastava, M.D.
• Rungrudee Sriyoung, RN
• Ann Elizabeth Srodulski, MA
• Sssht Opco SE Division Street, LLC (Courtyard at Mt. Tabor)
• Karen St Clair, LCSW
• Keeley Swete St Clair, MT-BC
• Pamela Jean St Clair, FNP-BC
• Rene C St Cyr, DC
• Leah St Germain

• Surgical Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.