Individual
MR. BRYAN LEE CANWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 240-8751
Mailing address
P.O. BOX 160, PENDLETON, OR 97801
(541) 966-9830
(509) 826-3653
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA157064
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650388
—
OR
05
—
8370884
—
WA
01
—
8944528
L&I-CRIME VICTIM
WA
Enumeration date
12/19/2005
Last updated
08/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us