Shayne M Ahwah, PAC
Physician Assistant, Surgical in Beaverton, Oregon
1790273811- Practice location
- 15700 SW Greystone CT, Beaverton, OR 97006-6011
- Phone
- 971-262-9150
- Fax
- 971-262-9151
- Last updated
- May 11, 2021
Shayne M Ahwah, PAC is a Physician Assistant, Surgical based in Beaverton, OR. Shayne M Ahwah, PAC holds the professional credentials of PAC. The NPI number for Shayne M Ahwah, PAC is 1790273811 and holds license No. PA187846 (OR). The current practice location address is 15700 SW Greystone CT, Beaverton, OR 97006-6011 and the office can be reached by phone at 971-262-9150 and by fax at 971-262-9151. The NPI was assigned on April 24, 2018 and the record was last updated in NPPES on May 11, 2021.
●Provider Profile Details
- NPI Number
- 1790273811
- Provider Name
- Shayne Mahealani Ahwah
- Credential
- PAC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Enumeration Date
- April 24, 2018
- Last Update Date
- May 11, 2021
- Certification Date
- May 11, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 15700 SW Greystone CT
Beaverton, OR 97006-6011 - City
- Beaverton
- State
- Oregon
- ZIP
- 97006-6011
- Country
- US
- Phone Number
- 971-262-9150
- Fax Number
- 971-262-9151
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | Yes | PA187846 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Beaverton →?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) and holds license No. PA187846 (OR).
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 at npiregistry.cms.hhs.gov.