-- SHEA MERTENS DEKLOTZ -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1679819239- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 3303 S BOND AVE, PORTLAND, OR, 972394501
- Phone
- (503) 494-4314
- Fax
- (503) 346-6810
Specialties & Taxonomies
Physician Assistant
License: OR #PA159893
Physician Assistant, Surgical
Primary License: OR #PA159893
All Addresses
MAILING
1400 SW 5TH AVE STE 500
PORTLAND, OR, 972015537