Individual provider · Type 1 NPI

Ivan A. Wang, PA-C

Physician Assistant · Portland, OR

NPI number 1598042764 Active

Practice location

5100 SW Macadam Ave Ste 200
Portland, OR 97239-3827

Call (971) 202-5500 Map

Fax (971) 202-5555

Mailing address

2935 SW Cedar Hills Blvd
Beaverton, OR 97005-1342

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant	363AM0700X	None listed
Physician Assistant Primary	363A00000X	PA155662 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1598042764

Ivan A. Wang, PA-C's National Provider Identifier is 1598042764, issued on Nov 15, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2018.