Individual provider · Type 1 NPI

Brendan Ciampa Clancy, PA-C

Surgical Physician Assistant · Portland, ME

NPI number 1194134783 Active

Practice location

818 Congress St
Portland, ME 04102-3112

Call (207) 773-8161 Map

Fax (207) 773-1489

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2842 (ME)
Physician Assistant 363A00000XPA2842 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1194134783

Brendan Ciampa Clancy, PA-C's National Provider Identifier is 1194134783, issued on Aug 7, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Feb 5, 2026.