Johnny Wayne Siniscal, PHYSICANS ASSISTANT

Surgical Physician Assistant · Clackamas, OR

Individual Active NPI

NPI number 1669583340

Practice location

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone
(503) 571-8278
Fax
(503) 571-2740

Open in Google Maps

NPI record

NPI
1669583340
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X OR PA 00079 OR

Mailing address

20770 SW Sandra Ln
Beaverton, OR 97006-1846

About Johnny Siniscal

Johnny Wayne Siniscal, PHYSICANS ASSISTANT is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 10100 SE Sunnyside Rd, Clackamas, OR 97015-8970. The NPI number 1669583340 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.

Johnny Siniscal lists a license in the registry: #OR PA 00079 (OR) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Johnny Wayne Siniscal, PHYSICANS ASSISTANT?

The NPI number is 1669583340.

What is the phone number of Johnny Siniscal?

The phone number listed for the practice location is (503) 571-8278.

Where is Johnny Siniscal located?

10100 SE Sunnyside Rd, Clackamas, OR 97015-8970.

What is the taxonomy code for Johnny Siniscal?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Surgical Physician Assistant providers in Clackamas

All Surgical Physician Assistant providers in Clackamas, OR →