| Mr Trever Scott Portenga, PA-C | |
|
400 Medical Park Dr, Watervliet, MI 49098-9225 | |
| (269) 463-2449 | |
| (269) 463-3581 |
| Full Name | Mr Trever Scott Portenga |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 400 Medical Park Dr, Watervliet, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831347442 | NPI | - | NPPES |
| 5601005365 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005365 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Trever Scott Portenga, PA-C 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: (269) 463-2449 | Mr Trever Scott Portenga, PA-C 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: (269) 463-2449 |
Miss Jessica Osei Yeboah, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 Fax: 269-463-8206 | |
Julie Y. Yang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Medical Park Dr Ste 200, Watervliet, MI 49098 Phone: 269-463-3600 | |
Deborah Ann Breen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-2243 | |
Alexis M Izumi, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 694-632-2422 | |
Charlene M Baumgartner, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 |