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JUSTIN THIBEAULT, PA-C
PA-C
Surgical Physician Assistant
NPI: 1376579631IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
PA153476(OR)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209 - Phone
- (503) 224-8399
Quick Facts
- NPI
- 1376579631
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 16
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