Individual provider · Type 1 NPI
Saron Theresa Sufuentes, PA-C
Surgical Physician Assistant · Portland, OR
NPI number
1396250122
Active
Practice location
578 NW Marlborough Ave
Portland, OR 97210-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1396250122
Saron Theresa Sufuentes, PA-C's National Provider Identifier is 1396250122, issued on Dec 1, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Dec 1, 2017.