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Search › Oregon › Surgical Physician Assistant

Justin Thibeault, PA-C

NPI 1376579631 · on the registry since 2006

Practice

Address
1515 Nw 18th Ave
3rd Floor
Portland, OR 97209
Phone
(503) 224-8399
Fax
(503) 224-5661
Organisation at this address
Genesis Medical Group, Llc.
Northwest Ambulatory Surgery Center Llc
Rose City Physical Therapy Associates, Llc
Pettygrove Physical Therpay Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon