Individual provider · Type 1 NPI

Johannah Lutz, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1285966002 Active

Practice location

202 NW 13th Ave
Portland, OR 97209-2953

Call (503) 684-8252 Map

Mailing address

19075 NW Tanasbourne Dr, Ste 200
Hillsboro, OR 97124-5860

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA159810 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1285966002

Johannah Lutz, PA-C's National Provider Identifier is 1285966002, issued on Feb 3, 2010. 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.