Individual
MR. SATCHEL HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
417 SW 117TH AVE FL 2, PORTLAND, OR 97225-5924
(503) 216-8980
Mailing address
417 SW 117TH AVE FL 2, PORTLAND, OR 97225-5924
(503) 216-8980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179787
OR
363AM0700X
Medical Physician Assistant
179787
OR
Other
Enumeration date
09/21/2016
Last updated
11/01/2023
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