Individual provider · Type 1 NPI

Jacob Peter Hauptman, P.A.-C

Medical Physician Assistant · Portland, OR

NPI number 1285802850 Active

Practice location

1321 NE 99th Ave, #200
Portland, OR 97220-9436

Call (503) 215-4250 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA20495 (CA)
Medical Physician Assistant 363AM0700X002042 (CT)
Medical Physician Assistant Primary 363AM0700X161825 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1285802850

Jacob Peter Hauptman, P.A.-C's National Provider Identifier is 1285802850, issued on Feb 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2020.