Individual
PATRICK A AMBIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1960 NW 167TH PL, BEAVERTON, OR 97006-4804
(503) 629-7500
(503) 629-7505
Mailing address
275 MCCLURE AVE, ASTORIA, OR 97103-5514
(503) 368-5286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00045
OR
Other
Enumeration date
11/11/2005
Last updated
07/08/2007
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