Individual provider · Type 1 NPI
Tara Pemberton, PA-C
Medical Physician Assistant · Portland, OR
NPI number
1275803462
Active
Practice location
9495 SW Locust St, Suite A & E
Portland, OR 97223-6683
Fax (503) 505-5922
Mailing address
9495SWLOCUST St A
Portland, OR 97223-6683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Portland
- Molly Anderson, PA-CMedical Physician Assistant Portland, OR NPI 1003388851
- Mackenzie Jean Eikamp, PA-CMedical Physician Assistant Portland, OR NPI 1003445636
- Alvin Ashneel Prasad, PA-CMedical Physician Assistant Portland, OR NPI 1003471426
- Sarha Elena RussMedical Physician Assistant Portland, OR NPI 1003701244
- Angela Victoria Lewis, PAMedical Physician Assistant Portland, OR NPI 1023079332
- Shannon Fay, PA-CMedical Physician Assistant Portland, OR NPI 1023177565
- Carolyn Kyle NixonMedical Physician Assistant Portland, OR NPI 1023249125
- Emily Armstrong, PAMedical Physician Assistant Portland, OR NPI 1023351814
About NPI 1275803462
Tara Pemberton, PA-C's National Provider Identifier is 1275803462, issued on Jan 5, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Aug 20, 2015.