Individual
MS. JUDY ELLEN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2935 SW CEDAR HILLS BLVD, BEAVERTON, OR 97005
(503) 352-8562
(503) 352-7089
Mailing address
85 NORTH 12TH STREET, PO BOX 568, CORNELIUS, OR 97113
(503) 352-8562
(503) 352-7089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00428
OR
363AM0700X
Medical Physician Assistant
PA00428
OR
Other
Enumeration date
10/13/2010
Last updated
06/14/2013
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