Individual provider · Type 1 NPI

Jason John Lines, PAC

Surgical Physician Assistant · Portland, OR

NPI number 1679548416 Active

Practice location

9155 SW Barnes Rd, Suite 240
Portland, OR 97225-6625

Fax (503) 216-2488

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00793 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1679548416

Jason John Lines, PAC's National Provider Identifier is 1679548416, issued on Feb 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 Oct 24, 2007.