Individual provider · Type 1 NPI

Leland Matthew Piccolo, PAC

Physician Assistant · Portland, OR

NPI number 1114116993 Active

Practice location

9155 SW Barnes Rd, Suite 440
Portland, OR 97225-6625

Call (503) 297-3766 Map

Fax (503) 297-8148

Mailing address

847 NE 19th Ave, Suite 300
Portland, OR 97232-2684

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01395 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114116993

Leland Matthew Piccolo, PAC's National Provider Identifier is 1114116993, issued on Oct 17, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2022.