Individual provider · Type 1 NPI

Lisa A. Bailey, P.A.-C

Surgical Physician Assistant · Portland, OR

NPI number 1528074846 Active

Practice location

1040 NW 22nd Ave, Suite 520
Portland, OR 97210-3057

Call (503) 413-7557 Map

Fax (503) 413-8241

Mailing address

1040 NW 22nd Ave Ste 520
Portland, OR 97210-3097

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA01129 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1528074846

Lisa A. Bailey, P.A.-C's National Provider Identifier is 1528074846, issued on Jul 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Mar 16, 2018.