person
Mr. Justin Robert Thibeault, PA-C
Surgical Physician Assistant in Portland, Oregon
NPI 1376579631

Justin Robert Thibeault is a Surgical Physician Assistant based in Vancouver, OR and is specialized in Surgical. Justin Robert Thibeault practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Justin Robert Thibeault is 1376579631 and holds a License No. PA153476 (Oregon).

The current practice location address for Justin Robert Thibeault is 1515 Nw 18Th Ave, Portland, OR and can be reached out via phone at 503-224-8399 and via fax at 503-224-5661.

Location: 1515 Nw 18Th Ave, Portland, OR, 98664-3295
person
Provider Profile Details
NPI Number
1376579631
Provider Name
Justin Robert Thibeault
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1515 Nw 18Th Ave, Portland, OR, 98664-3295
Phone Number
503-224-8399
Fax Number
503-224-5661
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1515 Nw 18Th Ave
City
State
Zip
97209-2516
Phone Number
503-224-8399
Fax Number
503-224-5661
person
Provider Business Mailing Address Details
Address
1515 Nw 18Th Ave
City
State
Zip
97209-2516
Phone Number
503-224-8399
Fax Number
503-224-5661
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA153476 (Oregon)
Definition
Definition to come...
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