Lisa Mae Cowan in Tualatin - Physician Assistant
Lisa Mae Cowan - NPI 1003807884
Lisa Mae Cowan is a Physician Assistant in Tualatin, Oregon. Lisa Mae Cowan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Mae Cowan is 1003807884. The last update date is 2018-08-15.
Lisa Mae Cowan's current location address is 19260 Sw 65th Ave, Tualatin, Oregon. You can contact this provider via phone number 5038859391 and fax number 5035635520. The mailing address for Lisa Mae Cowan is 19260 Sw 65th Ave, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Mae Cowan |
|---|---|
| Address | 19260 Sw 65th Ave, Tualatin, Oregon |
| Phone Number | 5038859391 |
| Fax Number | 5035635520 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003807884 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2018-08-15 |
Provider Mailing Address Detail
| Address | 19260 Sw 65th Ave |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970625705 |
| Phone Number | 5038859391 |
| Fax Number | 5035635520 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00679 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R113018 | MEDICARE PTAN | ||
| 215608 | OR | -- |
Post Comment/ Review Below
Could you share the physical location details of Lisa Mae Cowan?
The Lisa Mae Cowan is situated at 19260 Sw 65Th Ave, in the city of Tualatin, state of OR, with the zip code 970625705.
What is Lisa Mae Cowan's area of expertise and its corresponding taxonomy classification?
The Lisa Mae Cowan's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Lisa Mae Cowan receive its 1003807884 assignment?
The Lisa Mae Cowan was assigned its 1003807884 on 2005-11-02, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003807884 to Lisa Mae Cowan?
The Centers for Medicare & Medicaid Services originally issued the 1003807884 to Lisa Mae Cowan on 2005-11-02.
As of what date were the details pertaining to Lisa Mae Cowan last refreshed?
The information related to the Lisa Mae Cowan, including its address, specialty, and other relevant details, was last updated on 2018-08-15.