Ivan Wang, PA-C

NPI 1598042764 · on the registry since 2011

Practice

Address: 5100 Sw Macadam Ave Ste 200
Portland, OR 97239
Phone: (971) 202-5500
Fax: (971) 202-5555
Organisation at this address: Lines For Life
Housecall Providers Inc
Housecall Providers, Inc
Housecall Providers Services, Llc
Southern Home Care Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Medical Physician Assistant
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-02-08

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