Individual provider · Type 1 NPI

Ryan Van Dam, PA

Physician Assistant · Westford, MA

NPI number 1639616949 Active

Practice location

3 Thistle Ln
Westford, MA 01886-4034

Mailing address

PO Box 31001-4141
Pasadena, CA 91110-0001

Other practice locations

  • 718 91st Ave NE, Lake Stevens, WA 98258-2420 · (888) 227-3312

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.PA.60730273 (WA)
Physician Assistant 363A00000X2271480 (ID)

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 1639616949

Ryan Van Dam, PA's National Provider Identifier is 1639616949, issued on Jan 24, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Westford, MA. The record was last updated on Aug 13, 2026.