MICHAEL ANTHONY ST AMAND PAC NPI 1023508751

NPI Information

  • NPI: 1023508751
  • Provider Name: MICHAEL ANTHONY ST AMAND, PAC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 NE KNOTT ST
    PORTLAND, OR
    ZIP 97212
  • Phone: (503) 253-3910

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NPI Details

Michael Anthony St Amand, PAC is a surgical physician assistant in Portland, OR with 4 years of experience. Michael Anthony St Amand, PAC NPI is 1023508751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

301 NE KNOTT ST
PORTLAND, OR
ZIP 97212-014
Phone: (503) 253-3910
Fax: (503) 253-4297

The NPI 1023508751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 11/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA213270OREGONYes
2106S00000XBehavior TechnicianNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12222166MEDICAIDWASHINGTON
2500811653MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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