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Blake A Nelson , PA-C

Physician Assistant β€’ Happy Valley, OR

Active NPI 1437880010 Individual Practitioner Male Practitioner
Practice location in NPPES

9300 Se 91st Ave Ste 200
Happy Valley, OR 970863762

Call 5032611171 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9300 Se 91st Ave Ste 200

Happy Valley, OR 970863762

Telephone 5032611171
Fax 5032535989

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Happy Valley and Oregon

8 active clinicians are listed under Physician Assistant with a practice address in Happy Valley, OR (2,095 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA217352

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location January 16, 2025

Registered at 9300 SE 91ST AVE STE 200, HAPPY VALLEY, OR 970863762 (Tel: 5032611171)

πŸ“
Updated Business Mailing Address January 16, 2025

Registered at 9300 SE 91ST AVE STE 200, HAPPY VALLEY, OR 970863762 (Tel: 5032611171)

πŸ“
Updated Practice Location August 14, 2023

Registered at 2935 SW CEDAR HILLS BLVD, STE 100, BEAVERTON, OR 970051342 (Tel: 5033004111)

πŸ“
Updated Business Mailing Address August 14, 2023

Registered at 6924 NE SANDY BLVD, PORTLAND, OR 972135256 (Tel: 5033004111)

πŸ‘€
Provider Name / Credentials Updated August 14, 2023

Recorded as BLAKE NELSON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Physician Assistant (license number reported to NPPES: OR PA217352)

βœ…
NPI Profile Active June 23, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2022

Registered at 354 VILLAGE GREEN BLVD APT 104, ANN ARBOR, MI 481053618 (Tel: 5036805994)

πŸ“
Business Mailing Address (Initial Record) June 23, 2022

Registered at 354 VILLAGE GREEN BLVD APT 104, ANN ARBOR, MI 481053618 (Tel: 5036805994)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2022

Recorded as BLAKE NELSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 23, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437880010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2022
Last Update: January 16, 2025
Sole Proprietor: No

Other Physician Assistants in Happy Valley

Healthcare providers in Happy Valley

Mailing Address

9300 Se 91st Ave Ste 200

Happy Valley, OR 970863762

Phone: 5032611171

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.