Individual
ANDREW MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3406 LARAMIE DR, BOZEMAN, MT 59718-2005
(406) 586-5694
(844) 656-2480
Mailing address
501 N GRAHAM ST STE 250, PORTLAND, OR 97227-1651
(503) 249-0719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-70872
MT
363A00000X
Physician Assistant
PA180024
OR
Other
Enumeration date
10/05/2016
Last updated
02/25/2019
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