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Shung L Nip, PA
Medical Physician Assistant in Portland, Oregon
NPI 1386927044

Shung L Nip is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Shung L Nip practices in Portland, OR and has the professional credentials of PA. The NPI Number for Shung L Nip is 1386927044 and holds a License No. 4930 (Oregon).

The current practice location address for Shung L Nip is 10123 Se Market St, Portland, OR and can be reached out via phone at 503-257-2500.

Location: 10123 Se Market St, Portland, OR, 97201-5537
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Provider Profile Details
NPI Number
1386927044
Provider Name
Shung L Nip
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
10123 Se Market St, Portland, OR, 97201-5537
Phone Number
503-257-2500
Fax Number
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z157989 01 MEDICARE PTAN
767347 05 AZ
institution
Provider Business Practice Location Address Details
Address
10123 Se Market St
City
State
Zip
97216-2532
Phone Number
503-257-2500
Fax Number
person
Provider Business Mailing Address Details
Address
10123 Se Market St
City
State
Zip
97216-2532
Phone Number
503-257-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4930 (Arizona)
Definition
Definition to come...
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