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Izabela Maciolek, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1699771238

Izabela Maciolek is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Izabela Maciolek practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Izabela Maciolek is 1699771238 and holds a License No. PA00754 (Oregon).

The current practice location address for Izabela Maciolek is 9701 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-297-8081 and via fax at 503-292-6601. You can also correspond with Izabela Maciolek through the mailing address at 541 NE 20TH AVE STE 225, PORTLAND, OR - 97232-2895 (mailing address contact number: 503-963-2801).

Location: 9701 Sw Barnes Rd, Portland, OR, 97232-2895
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Provider Profile Details
NPI Number
1699771238
Provider Name
Izabela Maciolek
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9701 Sw Barnes Rd, Portland, OR, 97232-2895
Phone Number
503-297-8081
Fax Number
503-292-6601
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500602671 05 OR
8502593 05 WA
institution
Provider Business Practice Location Address Details
Address
9701 Sw Barnes Rd
City
State
Zip
97225-6689
Phone Number
503-297-8081
Fax Number
503-292-6601
person
Provider Business Mailing Address Details
Address
541 Ne 20Th Ave Ste 225
City
State
Zip
97232-2895
Phone Number
503-963-2801
Fax Number
503-963-2825
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00754 (Oregon)
Definition
Definition to come...
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