McKenna Chandler, PA-S
Individual provider Active NPI Physician Assistant · Salem, OR
NPI 1053934026 · NPPES record last updated Oct 8, 2025
Key facts
- NPI
- 1053934026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA213549 (OR)
- Practice address
- 3896 Beverly Ave NE Ste 40
Salem, OR 97305-1374 - Phone
- (503) 588-0076
- Fax
- (503) 588-7578
- NPI assigned
- May 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Santiam Memorial Hospital
Yakima Valley Farm Workers Clinic
Practice addresses (Care Compare)
114 SE Church St
Sublimity, OR 97385-9714
Phone (503) 769-2259
1175 Mount Hood Ave
Woodburn, OR 97071-9060
Phone (503) 982-2000
3896 Beverly Ave NE
BLDG J
Salem, OR 97305-1374
Phone (503) 588-0076
Hospital & facility affiliations
- Santiam Hospital & Clinics
- Salem Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221123000182 | OR | Practitioner - Physician Assistant | 5092183087 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakim Valley Farm Workers Clinic | Current |
Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current |
Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients |
Locations
589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717
3896 Beverly Ave NE
Ste 40
Salem, OR 97305
Phone (503) 588-0076
Interoperability endpoints
- mchandler39991@yvfwc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA213549 | OR | Yes |
Addresses
Primary practice location
3896 Beverly Ave NE Ste 40
Salem, OR 97305-1374
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.