Active NPIIndividual provider

Shayne M Ahwah, PAC

Physician Assistant, Surgical in Beaverton, Oregon

NPI Number1790273811
Practice location
15700 SW Greystone CT, Beaverton, OR 97006-6011
Fax
971-262-9151
Last updated
May 11, 2021

Shayne Mahealani Ahwah is a Physician Assistant, Surgical based in Beaverton, OR. Shayne Mahealani Ahwah practices in Beaverton, OR and has the professional credentials of PAC. The NPI Number for Shayne Mahealani Ahwah is 1790273811 and holds a License No. PA187846 (OR). The current practice location address for Shayne Mahealani Ahwah is 15700 SW Greystone CT, Beaverton, OR 97006-6011 and can be reached out via phone at 971-262-9150 and via fax at 971-262-9151.

Provider Profile Details

NPI Number
1790273811
Provider Name
Shayne Mahealani Ahwah
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
15700 SW Greystone CT, Beaverton, OR 97006-6011
Phone Number
971-262-9150
Fax Number
971-262-9151
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2018
Last Update Date
May 11, 2021
Certification Date
May 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
15700 SW Greystone CT
Beaverton, OR 97006-6011
State
Oregon
Zip
97006-6011
Phone Number
971-262-9150
Fax Number
971-262-9151
Beaverton, OR 97006Get directions →

Provider Business Mailing Address Details

Address
15700 SW Greystone CT
Beaverton, OR 97006-6011
City
Beaverton
State
OR
Zip
97006-6011
Phone Number
971-262-9150
Fax Number
971-262-9151

License Information

License Number
PA187846
License State
OR
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shayne M Ahwah, PAC?

The NPI number of Shayne M Ahwah, PAC is 1790273811. It was assigned on April 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Shayne M Ahwah, PAC?

Shayne M Ahwah, PAC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in OR under license number PA187846.

Where does Shayne M Ahwah, PAC practice?

The practice location is 15700 SW Greystone CT, Beaverton, OR 97006-6011. The office can be reached at 971-262-9150 (phone) or 971-262-9151 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790273811 directly on the NPPES registry website.

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