Individual provider · Type 1 NPI

Christian Latham, PA-S

Medical Physician Assistant · Portland, OR

NPI number 1467895243 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Call (503) 413-3840 Map

Mailing address

3012 NW 199th St
Ridgefield, WA 98642-9560

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA170287 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1467895243

Christian Latham, PA-S's National Provider Identifier is 1467895243, issued on Apr 11, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Oct 22, 2015.