Individual provider · Type 1 NPI

Sean Robert Cushing, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1457519829 Active

Practice location

10123 SE Market St
Portland, OR 97216-2532

Call (503) 251-6168 Map

Mailing address

5806 NE 23rd Ave
Portland, OR 97211-2710

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA 19589 (CA)
Medical Physician Assistant Primary 363AM0700XPA 153108 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1457519829

Sean Robert Cushing, PA-C's National Provider Identifier is 1457519829, issued on Jun 2, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2016.