person
Mr. Bryan Lee Canwell, PA-C
Medical Physician Assistant in Pendleton, Oregon
NPI 1598741860

Bryan Lee Canwell is a Medical Physician Assistant based in Pendleton, OR and is specialized in Medical. Bryan Lee Canwell practices in Pendleton, OR and has the professional credentials of PA-C. The NPI Number for Bryan Lee Canwell is 1598741860 and holds a License No. PA157064 (Oregon).

The current practice location address for Bryan Lee Canwell is 46314 Timine Way, Pendleton, OR and can be reached out via phone at 541-966-9830 and via fax at 541-240-8751.

Location: 46314 Timine Way, Pendleton, OR, 97801
person
Provider Profile Details
NPI Number
1598741860
Provider Name
Bryan Lee Canwell
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
46314 Timine Way, Pendleton, OR, 97801
Phone Number
541-966-9830
Fax Number
541-240-8751
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8370884 05 WA
8944528 01 WA L&I-CRIME VICTIM
500650388 05 OR
institution
Provider Business Practice Location Address Details
Address
46314 Timine Way
City
State
Zip
97801
Phone Number
541-966-9830
Fax Number
541-240-8751
person
Provider Business Mailing Address Details
Address
46314 Timine Way
City
State
Zip
97801
Phone Number
541-966-9830
Fax Number
541-240-8751
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA157064 (Oregon)
Definition
Definition to come...
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