Individual provider · Type 1 NPI

Johnny Wayne Siniscal, PHYSICANS ASSISTANT

Surgical Physician Assistant · Clackamas, OR

NPI number 1669583340 Active

Practice location

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 571-8278 Map

Fax (503) 571-2740

Mailing address

20770 SW Sandra Ln
Beaverton, OR 97006-1846

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XOR PA 00079 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1669583340

Johnny Wayne Siniscal, PHYSICANS ASSISTANT's National Provider Identifier is 1669583340, issued on Aug 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.