Individual
MANDY L JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12345 SW HORIZON BLVD STE 57, BEAVERTON, OR 97007-9475
(503) 216-8820
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA161600
OR
363A00000X
Physician Assistant
PA61243759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500699482
—
OR
Enumeration date
10/22/2010
Last updated
04/22/2025
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