Mr. Johnny Wayne Siniscal, PHYSICANSASSISTANT
Mr. Johnny Wayne Siniscal, PHYSICANSASSISTANT is a Surgical Physician Assistant in Clackamas, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2006
Practice location Address checks out
10100 SE Sunnyside RdClackamas, OR 97015-8970
Phone: (503) 571-8278
Fax: (503) 571-2740
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence OR PA 00079 (OR) |
|---|
Record details
| NPI number | 1669583340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICANSASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 20770 Sw Sandra Ln, Beaverton, OR 97006-1846 |
Other providers in Clackamas
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Whitney Headlee Marx, PA-C
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Jay Melvin Schmidt, PAC
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Kristien Marie Sima, PAC
10180 SE Sunnyside Rd, Clackamas, OR 97015-8970 · (800) 813-2000
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Piotr Starosta, PA-C
10180 SE Sunnyside Rd, Clackamas, OR 97015-8970 · (503) 813-2000