Individual provider · Type 1 NPI

Mason D. Spong, PA-C

Physician Assistant · Portland, OR

NPI number 1255193785 Active

Practice location

2701 NW Vaughn St Ste 470
Portland, OR 97210-5326

Fax (503) 296-2022

Mailing address

3265 NE Alberta St
Portland, OR 97211-7040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X214752 (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 1255193785

Mason D. Spong, PA-C's National Provider Identifier is 1255193785, issued on Jan 30, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on May 30, 2024.