Individual provider · Type 1 NPI

Joshin Adrald Luiz, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1780026583 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-6324

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA167747 (OR)
Medical Physician Assistant Primary 363AM0700XPA167747 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1780026583

Joshin Adrald Luiz, PA-C's National Provider Identifier is 1780026583, issued on Jul 22, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2020.