Individual provider · Type 1 NPI

Pamela J. Phelan, PAC

Surgical Physician Assistant · Portland, OR

NPI number 1649239278 Active

Practice location

6958 SW Varns Street, Southwest Diagnostic Imaging, Ltd
Portland, OR 97223-2530

Call (503) 683-7730 Map

Fax (039) 140-9275

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X3302 (AZ)
Surgical Physician Assistant Primary 363AS0400XPA203665 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1649239278

Pamela J. Phelan, PAC's National Provider Identifier is 1649239278, issued on Mar 22, 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 Jan 26, 2022.