Mr. TEARDAAD MAKARACHI PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1659883551- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-3442
- Fax
- (503) 494-5330
Specialties & Taxonomies
Physician Assistant
License: OR #PA185111
Physician Assistant, Medical
Primary License: OR #PA185111