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Michael Van Wyngarden, PHYSICIAN ASSISTANT
NPI 1790379451 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3303 S Bond Ave
Portland, OR 97239 - Phone
- (503) 494-5058
- Fax
- (503) 494-3465
- Organisation at this address
- University Professional Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 210
Additional practice sites
- 3181 Sw Sam Jackson Park Rd # Oc14ho, Portland, OR
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
- Licence states on file
- OR, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-11
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