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Ross Alan Vannorman, PAC
Medical Physician Assistant in Portland, Oregon
NPI 1134504103

Ross Alan Vannorman is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Ross Alan Vannorman practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Ross Alan Vannorman is 1134504103 and holds a License No. PA172769 (Oregon).

The current practice location address for Ross Alan Vannorman is 1111 Ne 99Th Ave, Portland, OR and can be reached out via phone at 503-963-3030 and via fax at 503-963-3140.

Location: 1111 Ne 99Th Ave, Portland, OR, 97232-2684
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Provider Profile Details
NPI Number
1134504103
Provider Name
Ross Alan Vannorman
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1111 Ne 99Th Ave, Portland, OR, 97232-2684
Phone Number
503-963-3030
Fax Number
503-963-3140
Provider Enumeration Date
07/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2047684 05 WA
500690192 05 OR
institution
Provider Business Practice Location Address Details
Address
1111 Ne 99Th Ave
City
State
Zip
97220-9428
Phone Number
503-963-3030
Fax Number
503-963-3140
person
Provider Business Mailing Address Details
Address
1111 Ne 99Th Ave
City
State
Zip
97220-9428
Phone Number
503-963-3030
Fax Number
503-963-3140
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA172769 (Oregon)
Definition
Definition to come...
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