Individual provider · Type 1 NPI
Caroline Stanley, PA-C
Surgical Physician Assistant · Portland, OR
NPI number
1891454310
Active
Practice location
3181 SW Sam Jackson Park Rd # L611
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA209207 (OR) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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- Melissa Robinson, PA-CSurgical Physician Assistant Portland, OR NPI 1013364355
- Kelsey Jordan St. Amand, PA-C, MPHSurgical Physician Assistant Portland, OR NPI 1013581222
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About NPI 1891454310
Caroline Stanley, PA-C's National Provider Identifier is 1891454310, issued on Dec 13, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on May 23, 2022.