Individual provider · Type 1 NPI

Nicole J. Bangs, P.A.-C.

Surgical Physician Assistant · Salem, OR

NPI number 1336242536 Active

Practice location

1600 State St
Salem, OR 97301-4257

Fax (503) 540-6404

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA156470 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1336242536

Nicole J. Bangs, P.A.-C.'s National Provider Identifier is 1336242536, issued on Sep 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salem, OR. The record was last updated on Feb 13, 2014.