Individual provider · Type 1 NPI

Matthew Alexander Bunker, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1265679765 Active

Practice location

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

Call (503) 494-7641 Map

Fax (503) 494-8368

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA182715 (OR)
Medical Physician Assistant 363AM0700XC5-0000582 (DE)
Medical Physician Assistant Primary 363AM0700XPA182715 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1265679765

Matthew Alexander Bunker, PA-C's National Provider Identifier is 1265679765, issued on Jan 21, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 15, 2021.