person
Mr. Nicholas Darwin Johantgen, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1851731152

Nicholas Darwin Johantgen is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Nicholas Darwin Johantgen practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Nicholas Darwin Johantgen is 1851731152 and holds a License No. PA161672 (Oregon).

The current practice location address for Nicholas Darwin Johantgen is 9155 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-229-7015.

Location: 9155 Sw Barnes Rd, Portland, OR, 97201-2500
person
Provider Profile Details
NPI Number
1851731152
Provider Name
Nicholas Darwin Johantgen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9155 Sw Barnes Rd, Portland, OR, 97201-2500
Phone Number
503-229-7015
Fax Number
Provider Enumeration Date
07/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-229-7015
Fax Number
person
Provider Business Mailing Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-229-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA161672 (Oregon)
Definition
Definition to come...
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