person
Shayne Mahealani Ahwah, PAC
Surgical Physician Assistant in Beaverton, Oregon
NPI 1790273811

Shayne Mahealani Ahwah is a Surgical Physician Assistant based in Beaverton, OR and is specialized in Surgical. 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 (Oregon).

The current practice location address for Shayne Mahealani Ahwah is 15700 Sw Greystone Ct, Beaverton, OR and can be reached out via phone at 971-262-9150 and via fax at 971-262-9151. You can also correspond with Shayne Mahealani Ahwah through the mailing address at 15700 SW GREYSTONE CT, BEAVERTON, OR - 97006-6011 (mailing address contact number: 971-262-9150).

Location: 15700 Sw Greystone Ct, Beaverton, OR, 97006-6011
person
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
Provider Enumeration Date
04/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2099260 05 WA
500742931 05 OR
institution
Provider Business Practice Location Address Details
Address
15700 Sw Greystone Ct
City
State
Zip
97006-6011
Phone Number
971-262-9150
Fax Number
971-262-9151
person
Provider Business Mailing Address Details
Address
15700 Sw Greystone Ct
City
State
Zip
97006-6011
Phone Number
971-262-9150
Fax Number
971-262-9151
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA187846 (Oregon)
Definition
Definition to come...
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