Individual provider · Type 1 NPI

Lisa Anne Egan, PA

Medical Physician Assistant · Portland, OR

NPI number 1407862964 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-4500 Map

Fax (503) 494-4473

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00569 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1407862964

Lisa Anne Egan, PA's National Provider Identifier is 1407862964, issued on Aug 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Feb 17, 2021.