Isaac Obeng, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

APPLIED Issued in OR

Practice address

9555 SW Barnes Rd Ste 275
Portland, OR 97225-6680

Phone

(971) 328-4386

Fax

(971) 231-0270

NPI assigned

May 22, 2015

Last updated

Aug 21, 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 3

Addresses

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Nancy Yen Shipley, MD

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1669681573
  Medicare reassignment
• Multnomah Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1770605446

  Adult Reconstructive Orthopaedic Surgery

  NPD
• Nancy Yen Shipley MD LLC

  dba Form & Function Orthopaedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Portland, OR
  • NPI 1477431385
  NPD (past)

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1669851721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 SE 37TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972225827",
            "telephone_number": "503-841-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 275",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256680",
            "telephone_number": "971-328-4386",
            "fax_number": "971-231-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 NE Hoyt St Ste 626",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132956",
            "country_code": "US",
            "telephone_number": "503-231-1426",
            "fax_number": "503-234-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBENG",
        "first_name": "ISAAC",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "APPLIED",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OR",
            "license": "PA179379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Obeid
• Salameh Sameh Obeidat, MBBS, MHQS
• Asraa Obeidi, DDS
• Samuel B Obembe
• Meredith Anne Obenchain, LMT, DIPL. ABT
• Krista Marie Obenlock, DSOM
• Madelynn Ober, LCSW
• Marianne Cristin Ober, LMT
• Toni Lynn Oberding
• Gretchen Oberle, OTR

• 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 Aug 21, 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.