Individual
SEAN MALANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 HILYARD ST STE 620, EUGENE, OR 97401-8157
(458) 205-6500
Mailing address
1200 HILYARD ST STE 620, EUGENE, OR 97401-8157
(458) 205-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA197106
OR
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/24/2015
Last updated
06/19/2020
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