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Individual

MEGAN K WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PA-C

Contact information

Practice address
3303 SW BOND AVE, CH10U, PORTLAND, OR 97239-4501
(503) 346-1500
(503) 346-1501
Mailing address
3303 SW BOND AVE, CH10U, DEPARTMENT OF UROLOGY, PORTLAND, OR 97239-4501
(503) 346-1500
(503) 346-1501

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
PA169800
OR
363A00000X
Physician Assistant
PA22481
CA
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
10/17/2011
Last updated
10/20/2014
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