Individual provider · Type 1 NPI

Shannon Fay, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1023177565 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-3442 Map

Fax (503) 494-5330

Other practice locations

  • 435 Lancaster Dr NE, Salem, OR 97301-2762 · (503) 585-6388

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA01170 (OR)
Medical Physician Assistant Primary 363AM0700XPA01170 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1023177565

Shannon Fay, PA-C's National Provider Identifier is 1023177565, issued on Dec 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 29, 2020.