person
Mr. Johnny Wayne Siniscal, PHYSICANSASSISTANT
Surgical Physician Assistant in Clackamas, Oregon
NPI 1669583340

Johnny Wayne Siniscal is a Surgical Physician Assistant based in Beaverton, OR and is specialized in Surgical. Johnny Wayne Siniscal practices in Clackamas, OR and has the professional credentials of PHYSICANSASSISTANT. The NPI Number for Johnny Wayne Siniscal is 1669583340 and holds a License No. OR PA 00079 (Oregon).

The current practice location address for Johnny Wayne Siniscal is 10100 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-571-8278 and via fax at 503-571-2740. You can also correspond with Johnny Wayne Siniscal through the mailing address at 20770 SW SANDRA LN, BEAVERTON, OR - 97006-1846 (mailing address contact number: ).

Location: 10100 Se Sunnyside Rd, Clackamas, OR, 97006-1846
person
Provider Profile Details
NPI Number
1669583340
Provider Name
Johnny Wayne Siniscal
Credential
PHYSICANSASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
10100 Se Sunnyside Rd, Clackamas, OR, 97006-1846
Phone Number
503-571-8278
Fax Number
503-571-2740
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10100 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-571-8278
Fax Number
503-571-2740
person
Provider Business Mailing Address Details
Address
20770 Sw Sandra Ln
City
State
Zip
97006-1846
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
OR PA 00079 (Oregon)
Definition
Definition to come...
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