Andrew Stanton, PA-C
Physician Assistant, Surgical in Portland, OR. Individual provider (NPI-1).
NPI number1982179560
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1982179560
- Entity type
- Individual (NPI-1)
- Name
- Andrew Stanton
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2018
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA190662 | OR | Yes |
| 363A00000X | Physician Assistant | PA190662 | OR |
Practice location
11782 Sw Barnes RdPortland, OR 97225-5914
Phone 503-214-5200
Mailing address
3890 Sw 94th AvePortland, OR 97225-2507
Other practice locations
14795 Sw Murray Scholls Dr Ste 109
Beaverton, OR 97007-9230
Beaverton, OR 97007-9230
Phone 503-906-4301 · Fax 503-906-6613
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