Ivan A Wang, PA-C | |
5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | |
(971) 202-5500 | |
(971) 202-5555 |
Full Name | Ivan A Wang |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 5100 Sw Macadam Ave Ste 200, Portland, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598042764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PA155662 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ivan A Wang, PA-C 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 Ph: (503) 352-6092 | Ivan A Wang, PA-C 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 Ph: (971) 202-5500 |
James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708 | |
David Pritchett, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067 | |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000 | |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 | |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670 |