Individual
MR. FRANK JOHN PACOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9800 SUNNYSIDE RD., CLACKAMAS, OR 97015
(503) 571-3218
(503) 571-3418
Mailing address
11907 SE 108TH AVE., PORTLAND, OR 97266
(503) 888-5898
(503) 571-3418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00185
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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