person
Callum Hart Mackintosh
Surgical Physician Assistant in Portland, Oregon
NPI 1902427776

Callum Hart Mackintosh is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Callum Hart Mackintosh practices in Portland, OR. The NPI Number for Callum Hart Mackintosh is 1902427776 and holds a License No. PA207556 (Oregon).

The current practice location address for Callum Hart Mackintosh is 5050 Ne Hoyt St Ste 359, Portland, OR and can be reached out via phone at 503-935-8501.

Location: 5050 Ne Hoyt St Ste 359, Portland, OR, 97232-2895
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Provider Profile Details
NPI Number
1902427776
Provider Name
Callum Hart Mackintosh
Credential
Provider Entity Type
Individual
Gender
Male
Address
5050 Ne Hoyt St Ste 359, Portland, OR, 97232-2895
Phone Number
503-935-8501
Fax Number
Provider Enumeration Date
05/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500798393 05 OR
institution
Provider Business Practice Location Address Details
Address
5050 Ne Hoyt St Ste 359
City
State
Zip
97213-2983
Phone Number
503-935-8501
Fax Number
person
Provider Business Mailing Address Details
Address
5050 Ne Hoyt St Ste 359
City
State
Zip
97213-2983
Phone Number
503-935-8501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA207556 (Oregon)
Definition
Definition to come...
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