Doctor profile · Federal record
Dr. Jennifer van Atta, PA
Physician Assistant · Tigard, OR
- NPI 1295818383
- 20 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
15755 Sw Sequoia Pkwy Ste 200
Tigard, OR 972247166
(503) 639-6002
fax (503) 639-1403
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- January 25, 2013
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Oregon #PA01150
- Medicaid (2)
- OR #001920 · OR #500604336
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295818383. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon LLC | 1 | $15.80 |
By nature of payment
Frequently asked questions
What is Dr. Jennifer van Atta's medical specialty?
Dr. Jennifer van Atta practices Physician Assistant in Tigard, OR.
Where does Dr. Jennifer van Atta practice?
Dr. Jennifer van Atta practices at 15755 Sw Sequoia Pkwy Ste 200, Tigard, OR 972247166. Office phone: 5036396002.
What is Dr. Jennifer van Atta's NPI?
Dr. Jennifer van Atta's National Provider Identifier (NPI) is 1295818383, issued by NPPES.
Does Dr. Jennifer van Atta accept Medicare assignment?
Dr. Jennifer van Atta does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.