Sanyi Yoseph Abdissa
Individual provider Active NPI Physician Assistant · Hermiston, OR
NPI 1083356018 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1083356018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA213018 (OR)
- Practice address
- 610 NW 11TH St
Hermiston, OR 97838-6601 - Phone
- (541) 667-3400
- Fax
- (541) 667-3831
- NPI assigned
- Apr 11, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yakima Valley Farm Workers Clinic
Good Shepherd Health Care System
Practice addresses (Care Compare)
589 NW 11TH St
Hermiston, OR 97838-6600
Phone (503) 567-1717
600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400
Hospital & facility affiliations
- Good Shepherd Home Health
- Good Shepherd Medical Center
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 |
|---|---|---|---|---|
| I20221201002321 | OR | Practitioner - Physician Assistant | 0941678585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA213018 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current |
Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current |
Accepting new patients |
Locations
595 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717
589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717
Interoperability endpoints
- sabdissa39989@yvfwc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA213018 | OR | Yes |
Addresses
Primary practice location
610 NW 11TH St
Hermiston, OR 97838-6601
Mailing address
610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400
Other providers in Hermiston, OR
- John Eric Adams
- Karl D Adams
- Lawrence James Adams
- Sandra Lee Adams
- Advanced Orthopedic & Sports Medicine Institute, LLC
All providers in Hermiston, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. 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.