Active NPIIndividual provider

Rayna Donnelly, PA-C

Physician Assistant in Tigard, Oregon

NPI Number1043717390
Practice location
9735 SW Shady Ln Ste 102, Tigard, OR 97223
Fax
—
Last updated
July 25, 2018

Rayna Donnelly is a Physician Assistant based in Tigard, OR. Rayna Donnelly practices in Tigard, OR and has the professional credentials of PA-C. The NPI Number for Rayna Donnelly is 1043717390 and holds a License No. PA185400 (OR). The current practice location address for Rayna Donnelly is 9735 SW Shady Ln Ste 102, Tigard, OR 97223 and can be reached out via phone at 503-620-5614.

Provider Profile Details

NPI Number
1043717390
Provider Name
Rayna Donnelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9735 SW Shady Ln Ste 102, Tigard, OR 97223
Phone Number
503-620-5614
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2018
Last Update Date
July 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
9735 SW Shady Ln Ste 102
Tigard, OR 97223
City
Tigard
State
Oregon
Zip
97223
Phone Number
503-620-5614
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
9735 SW Shady Ln Ste 102
Tigard, OR 97223-5481
City
Tigard
State
OR
Zip
97223-5481

License Information

License Number
PA185400
License State
OR
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rayna Donnelly, PA-C?

The NPI number of Rayna Donnelly, PA-C is 1043717390. It was assigned on April 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Rayna Donnelly, PA-C?

Rayna Donnelly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OR under license number PA185400.

Where does Rayna Donnelly, PA-C practice?

The practice location is 9735 SW Shady Ln Ste 102, Tigard, OR 97223. The office can be reached at 503-620-5614 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043717390 directly on the NPPES registry website.

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