NPIMap

Individual provider Active NPI

Jamie Brown, PA-C

  • Medical Physician Assistant
  • Sandy, OR
National Provider Identifier
1669802799
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA218097 Issued in OR
Practice address
17055 Ruben LN
Sandy, OR 97055-9276
Phone
(503) 668-8002
NPI assigned
Nov 27, 2013
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA218097 OR
Medical Physician Assistant 363AM0700X PA218097 OR Primary

Addresses

Primary practice location

17055 Ruben LN
Sandy, OR 97055-9276

Mailing address

17055 Ruben LN
Sandy, OR 97055-9276

Other practice location 1

12121 E Burnside St
Portland, OR 97216-3737
Phone (971) 361-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150910000836 OH Practitioner - Physician Assistant 5092946251 Reassigns benefits to 2 organizations
I20231205002173 OR Practitioner - Physician Assistant 5092946251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10151 SE Sunnyside Rd
Suite 100
Clackamas, OR 97015-5705
Phone (503) 659-0880

17055 Ruben LN
Sandy, OR 97055-9276
Phone (503) 668-8002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Feb 1, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Optimal Integrated Health Solutions Inc CurrentSince Nov 1, 2019 Accepting new patients
Phoenix Emergency Physicians of the Midwest LLC Past Accepting new patients
Erie Banks Emergency Physicians LLC Physician Assistant Past Accepting new patients

Locations

4625 Red Bank Rd
Ste 101
Cincinnati, OH 45227
Phone (513) 525-1234

675 Deis Dr
Fairfield, OH 45014
Phone (513) 759-4666

7556 Voice of America Centre Dr
West Chester, OH 45069
Phone (513) 532-2341

1060 Eastwind Dr
Westerville, OH 43081
Phone (614) 895-1038

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

17055 Ruben Ln
Sandy, OR 97055
Phone (503) 668-8002

Interoperability endpoints

  • Direct secure messaging: jbrown167691@direct.ohsu.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1669802799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 RUBEN LN",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17055 RUBEN LN",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559276",
            "telephone_number": "503-668-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12121 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163737",
            "country_code": "US",
            "telephone_number": "971-361-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA218097",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA218097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

Verify at the official NPI Registry.