Individual
MR. GEOFFREY XIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15895 SW 72ND AVE STE 250, TIGARD, OR 97224-7966
(503) 624-5630
(503) 624-9149
Mailing address
1840 E RAY RD, CHANDLER, AZ 85225-8720
(855) 397-0197
(800) 272-6512
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA178428
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079317
—
WA
05
—
500717752
—
OR
Enumeration date
05/17/2016
Last updated
11/26/2019
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