Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ivan A Wang, PA-C

Individual provider Medical Physician Assistant · NPI 1598042764

Ivan A Wang, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with Marquis Clinical Services LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5100 SW Macadam Ave Ste 200
Portland, OR 97239-3827
Phone: (971) 202-5500
Fax: (971) 202-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA155662 (OR)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1598042764
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2011
Last updated in NPPESFebruary 8, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Marquis Clinical Services Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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