Individual
RYAN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3415 NE 20TH AVE, PORTLAND, OR 97212-2416
(503) 442-2501
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 442-2501
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA174906
OR
Other
Enumeration date
09/23/2015
Last updated
01/08/2016
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