Individual
CATHERINE I BARGOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST STE 611, PORTLAND, OR 97213-2990
(503) 215-8699
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005028
MI
363A00000X
Physician Assistant
Primary
PA01456
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500616510
—
OR
Enumeration date
08/30/2007
Last updated
02/27/2025
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