person
Jason John Lines, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1679548416

Jason John Lines is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Jason John Lines practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Jason John Lines is 1679548416 and holds a License No. PA00793 (Oregon).

The current practice location address for Jason John Lines is 9155 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-296-4027 and via fax at 503-216-2488.

Location: 9155 Sw Barnes Rd, Portland, OR, 97225-6625
person
Provider Profile Details
NPI Number
1679548416
Provider Name
Jason John Lines
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
9155 Sw Barnes Rd, Portland, OR, 97225-6625
Phone Number
503-296-4027
Fax Number
503-216-2488
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8394264 05 WA
institution
Provider Business Practice Location Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-296-4027
Fax Number
503-216-2488
person
Provider Business Mailing Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-296-4027
Fax Number
503-216-2488
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00793 (Oregon)
Definition
Definition to come...
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