Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHANIE MCMAHON PA
NPI 1649944737
Physician Assistant - Medical in Portland, OR

Q: What is Stephanie Mcmahon's NPI number?

The NPI number for Stephanie Mcmahon is 1649944737. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Q: What is Stephanie Mcmahon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Mcmahon was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2021PECOS Enrolled

3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-5058(503) 494-1552 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Aug 3, 2021 (2 updates tracked since 2021).

On this page

About Stephanie Mcmahon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MCMAHON PA (NPI 1649944737) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA206717) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1649944737

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSTEPHANIE MCMAHONCredential: PA

Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011

Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · Fax (503) 346-8021

Phone(503) 494-5058

Fax(503) 494-1552

Sole ProprietorNo

Enumeration DateAugust 3, 2021

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1649944737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OR · PA206717

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

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Secondary Practice Location 1

Location 16924 NE Sandy BlvdPortland, OR 97213-5256 · Phone (503) 660-4445

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Mcmahon Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RICHARD SULLIVAN MD

Internal Medicine (Pulmonary Disease)

3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239

Multnomah County (503) 494-6949

MRS. ANJALEE NIX ROWE NP

Nurse Practitioner (Acute Care)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-3988

REEM HASAN MD

Internal Medicine

3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239

Multnomah County (503) 494-8562

DR. AMANDA D BALL PSY.D

Psychologist (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

SUNSHINE WELSCH LMT

Massage Therapist

3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239

Multnomah County (503) 494-8349

DR. ROBERT GENE MEALER M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

GREGORY HALL MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

DR. BURHAN AHMED MIAN MD

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

KARINA RAE ESPANA MD

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

CLAIRE SAHLBERG RUGGERI MD

Pediatrics

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8220

KIMBERLY LAUREN IMBESI MD

Emergency Medicine

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8211

ANN PERRIN

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8211

KRIS KUMAR

Internal Medicine (Interventional Cardiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

SARAH POWER LCSW

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-0849

SHAHRZAD SHARAFI MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

JULIE MARIE MARTIN

Dietitian, Registered

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-5466

DR. SONYA FABRICANT MD

Obstetrics & Gynecology

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-4500

BRENDA BONILLA

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-2273

KAYLEE PURPURA

Otolaryngology (Plastic Surgery within the Head & Neck)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8510

MOLLY ANDERSON PA-C

Physician Assistant (Medical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Mcmahon's NPI number?

The NPI number for Stephanie Mcmahon is 1649944737. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Stephanie Mcmahon located?

Stephanie Mcmahon practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-5058.

What is Stephanie Mcmahon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stephanie Mcmahon enrolled in Medicare?

Yes. Stephanie Mcmahon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Mcmahon was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.