Individual provider · Type 1 NPI

Maia Lavarias, PA

Medical Physician Assistant · Portland, OR

NPI number 1962809574 Active

Practice location

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

Fax (503) 494-8368

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA180238 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1962809574

Maia Lavarias, PA's National Provider Identifier is 1962809574, issued on Nov 25, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Apr 9, 2021.