Individual provider · Type 1 NPI

Ryan T. Tartaglia, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1265995658 Active

Practice location

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

Call (503) 494-6594 Map

Fax (503) 494-4285

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA10012 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1265995658

Ryan T. Tartaglia, PA-C's National Provider Identifier is 1265995658, issued on Apr 11, 2019. 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 24, 2023.