Individual provider · Type 1 NPI

Michael Hisao Mun Ho Pang, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1730787615 Active

Practice location

1350 NE 122nd Ave
Portland, OR 97230-2011

Call (503) 408-7008 Map

Fax (503) 408-7045

Mailing address

12121 E Burnside St
Portland, OR 97216-3737

Other practice locations

  • 12121 E Burnside St, Portland, OR 97216-3737 · (971) 361-7700
  • 17055 Ruben Ln, Sandy, OR 97055-9276 · (503) 668-8002

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA201536 (OR)

Medical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1730787615

Michael Hisao Mun Ho Pang, PA-C's National Provider Identifier is 1730787615, issued on Oct 13, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Nov 17, 2022.