Individual provider · Type 1 NPI

Ryan McMahon, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1619346368 Active

Practice location

3415 NE 20th Ave
Portland, OR 97212-2416

Call (503) 442-2501 Map

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA174906 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1619346368

Ryan McMahon, PA-C's National Provider Identifier is 1619346368, issued on Sep 23, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jan 8, 2016.