Individual
UY SY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5611 SE 145TH AVE, PORTLAND, OR 97236-4005
(971) 344-6657
Mailing address
5611 SE 145TH AVE, PORTLAND, OR 97236-4005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA216624
OR
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us