Individual
ANDREW SCOTT ROMAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
Mailing address
1646 NE 17TH AVE, CANBY, OR 97013-2369
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
5319
CT
363AS0400X
Surgical Physician Assistant
Primary
PA212094
OR
Other
Enumeration date
05/25/2021
Last updated
09/22/2022
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