Individual provider · Type 1 NPI

Mark Wesley Haffner, PA

Surgical Physician Assistant · Portland, OR

NPI number 1982821922 Active

Practice location

2222 NW Lovejoy St, Suite 315
Portland, OR 97210-5101

Fax (503) 227-3422

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X1618 (MA)
Surgical Physician Assistant Primary 363AS0400XPA158963 (OR)
Surgical Physician Assistant 363AS0400XPA60291947 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1982821922

Mark Wesley Haffner, PA's National Provider Identifier is 1982821922, issued on Apr 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2015.