UY NGO

Physician Assistant

NPI: 1104504216IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA216624(OR)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2022

Contact & Hours

Address: 5611 SE 145TH AVE
PORTLAND, OR 97236
Phone: (971) 344-6657

Quick Facts

NPI: 1104504216
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 4

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