Individual provider · Type 1 NPI

Molly Tanguay, PA

Surgical Physician Assistant · Portland, ME

NPI number 1336769637 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Call (207) 662-2934 Map

Fax (207) 662-6389

Other practice locations

  • 887 Congress St Ste 400, Portland, ME 04102-3163 · (207) 774-6368

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1989 (ME)
Physician Assistant 363A00000XPA1989 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1336769637

Molly Tanguay, PA's National Provider Identifier is 1336769637, issued on Apr 16, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Jan 5, 2026.