Individual provider · Type 1 NPI

Ryan D. Stauffer, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1104356088 Active

Practice location

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

Call (503) 494-4314 Map

Fax (503) 346-6810

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA000813L (PA)
Surgical Physician Assistant Primary 363AS0400XPA211395 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1104356088

Ryan D. Stauffer, PA-C's National Provider Identifier is 1104356088, issued on Jun 14, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Aug 11, 2022.