Melissa D Peng in Tigard - Physician Assistant

Melissa D Peng - NPI 1508876483

Melissa D Peng is a Physician Assistant in Tigard, Oregon. Melissa D Peng practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melissa D Peng is 1508876483. The last update date is 2021-06-21.

Melissa D Peng's current location address is 9735 Sw Shady Ln, Tigard, Oregon. You can contact this provider via phone number 5036392800 and fax number 5036394044. The mailing address for Melissa D Peng is 9735 Sw Shady Ln, Tigard, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa D Peng
Address 9735 Sw Shady Ln, Tigard, Oregon
Phone Number 5036392800
Fax Number 5036394044
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1508876483
Provider Enumeration Date 2006-08-09
Last Updated Date 2021-06-21

Provider Mailing Address Detail

Address 9735 Sw Shady Ln
City Tigard
State Oregon (OR)
Post Code 972235481
Phone Number 5036392800
Fax Number 5036394044

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA00703
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Melissa D Peng

What is the unique 10-digit identifier code issued to Melissa D Peng by the Centers for Medicare & Medicaid Services?

The Melissa D Peng has been assigned the NPI (National Provider Identifier) 1508876483 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Melissa D Peng located?

The Melissa D Peng is located at 9735 Sw Shady Ln, Tigard, OR 972235481.

What is Melissa D Peng's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Melissa D Peng's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Melissa D Peng receive the assignment of its 1508876483 from the Centers for Medicare & Medicaid Services?

The Melissa D Peng was issued its 1508876483 by the Centers for Medicare & Medicaid Services on 2006-08-09.

When was the information pertaining to Melissa D Peng most recently updated or revised?

The details related to Melissa D Peng, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-21.

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