Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Alysa Pottratz

Individual provider Physician Assistant · NPI 1619532884

Taylor Alysa Pottratz is a Physician Assistant in Lake Oswego, Oregon. Qualified in 2020, 6 years ago. Practices with Clear Choice Dermatology, a 48-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2019

Practice location Address checks out

123 C Ave
Lake Oswego, OR 97034-2353
Phone: (503) 905-9006
Fax: (541) 210-8913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA204779 (OR)

Record details

NPI number1619532884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2019
Last updated in NPPESOctober 4, 2021
Certification dateOctober 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Clear Choice Dermatology — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Oswego