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

MR. FLYNN ANDREW ROBERTSON PA-C
NPI 1972332161
Physician Assistant - Medical in Tigard, OR

Active since July 29, 2024PECOS Enrolled
15895 SW 72ND AVE STE 250, TIGARD, OR 97224(503) 624-5630 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 23, 2026, Jul 29, 2024 (2 updates tracked since 2024).

About Mr. Flynn Andrew Robertson Pa-c NPPES

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

MR. FLYNN ANDREW ROBERTSON PA-C (NPI 1972332161) is an individual medical provider in Tigard, Oregon, licensed in Oregon (PA227998) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972332161
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. FLYNN ANDREW ROBERTSONCredential: PA-C
Location Address15895 SW 72ND AVE STE 250Tigard, OR 97224-7966
Mailing Address15895 Sw 72nd Ave Ste 250Tigard, OR 97224-7966 · (503) 624-5630
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2024
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1972332161 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 · PA227998
15895 SW 72ND AVE STE 250, Tigard, OR 97224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Flynn Andrew Robertson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507343753
PECOS Enrollment IDI20260120002078
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 5

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

Internal Medicine (Nephrology)
15895 SW 72ND AVE STE 250
TIGARD, OR 97224
Internal Medicine (Nephrology)
15895 SW 72ND AVE STE 250
PORTLAND, OR 97224
Internal Medicine (Nephrology)
15895 SW 72ND AVE STE 250, BLDG B
TIGARD, OR 97224
Physician Assistant (Medical)
15895 SW 72ND AVE STE 250
TIGARD, OR 97224
Internal Medicine (Nephrology)
15895 SW 72ND AVE STE 250
PORTLAND, OR 97224

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 Flynn Robertson's NPI number?

The NPI number for Flynn Robertson is 1972332161. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Flynn Robertson located?

Flynn Robertson practices at 15895 SW 72nd Ave Ste 250, Tigard, OR 97224. The listed phone number is (503) 624-5630.

What is Flynn Robertson's specialty?

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

Is Flynn Robertson enrolled in Medicare?

Yes. Flynn Robertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Flynn Robertson was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.