Individual provider · Type 1 NPI

Fardowsa Shariff Idris, PHYSICIAN ASSISTANT

Physician Assistant · Tualatin, OR

NPI number 1609419225 Active

Practice location

19255 SW 65th Ave Ste 200
Tualatin, OR 97062-9712

Fax (503) 828-1160

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X202128 (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 1609419225

Fardowsa Shariff Idris, PHYSICIAN ASSISTANT's National Provider Identifier is 1609419225, issued on Oct 27, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tualatin, OR. The record was last updated on Dec 11, 2020.