Individual
AUBREY ANN VAN DYKE-GINELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9155 SW BARNES RD STE 318, PORTLAND, OR 97225-6630
(503) 467-4761
Mailing address
9155 SW BARNES RD STE 318, PORTLAND, OR 97225-6630
(503) 467-4761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA229543
OR
363A00000X
Physician Assistant
Primary
PA64127
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/26/2023
Last updated
05/28/2026
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