Individual provider Active NPI

Sheri Lyn Cameron, PA-C

  • Medical Physician Assistant
  • Tigard, OR
National Provider Identifier
1972610822
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01009 Issued in OR
Practice address
7300 SW Childs Rd
Tigard, OR 97224-7772
Phone
(503) 692-8700
Fax
(503) 692-8710
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01009 OR Primary
Medical Physician Assistant 363AM0700X PA21938 CA

Addresses

Primary practice location

7300 SW Childs Rd
Tigard, OR 97224-7772

Mailing address

7300 SW Childs Rd
Tigard, OR 97224-7772
Phone (503) 692-8700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050312000076 OR Practitioner - Physician Assistant 1254386261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Sports Medicine AssociatesGroup PAC ID 1052306776, 17 clinicians

Practice addresses (Care Compare)

29345 SW Town Ctr Loop E
Suite 211
Wilsonville, OR 97070-8486
Phone (503) 692-8700

7300 SW Childs Rd
Suite B
Tigard, OR 97224-7772
Phone (503) 692-8700

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21938CAMDClinical Social Worker
PA21938CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Sports Medicine Associates PastSince Sep 29, 2020 Accepting new patients

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1972610822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247772",
            "telephone_number": "503-692-8700",
            "fax_number": "503-692-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247772",
            "telephone_number": "503-692-8700",
            "fax_number": "503-692-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "SHERI",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01009",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.