Individual provider · Type 1 NPI

Mamie D. Diaz, PA

Physician Assistant · Sherwood, OR

NPI number 1942206586 Active

Practice location

16770 SW Edy Rd, Suite 102
Sherwood, OR 97140-9679

Fax (678) 741-2301

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA00713 (OR)
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XPA00713 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1942206586

Mamie D. Diaz, PA's National Provider Identifier is 1942206586, issued on Jun 27, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sherwood, OR. The record was last updated on Mar 12, 2012.