Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 8

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Surgical Physician Assistant Providers

NPI Name Type Address

1992936066

PA Benjamin P Wallace

Individual

3600 Nw Samaritan Drive

Suite 227

Corvallis, OR

1447313010

PA-C Tiara F Packer

Individual

3620 Nw Samaritan Drive

Suite 202

Corvallis, OR

1457685372

MS. PA Anca Stefania Kovacs

Individual

2298 Nw Kings Blvd

Corvallis, OR

1154763050

PA-C Michelle Renae-pippel Keller

Individual

3615 Nw Samaritan Dr

Suite 210

Corvallis, OR

1144611971

PA Miranda L Markesteyn

Individual

3640 Nw Samaritan Dr Ste 120

Corvallis, OR

1497925135

MR. PA-C Scott G Sims

Individual

3640 Nw Samaritan Dr Ste 120

Corvallis, OR

1558982587

Benjamin Andrew Walsh

Individual

3640 Nw Samaritan Dr Ste 120

Corvallis, OR

1528003738

MR. P.A. Adam B Specht

Individual

3640 Nw Samaritan Dr Ste 120

Corvallis, OR

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AS0400X
Specialization Surgical
Display Name Surgical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Physician Assistant

363A00000X • providers: 122,072