| Ivan A Wang, PA-C | |
| 
					5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827  | |
| (971) 202-5500 | |
| (971) 202-5555 | 
| Full Name | Ivan A Wang | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 5100 Sw Macadam Ave Ste 200, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598042764 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary | 
| 363A00000X | Physician Assistant | PA155662 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ivan A Wang, PA-C 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 Ph: (503) 352-6092  | Ivan A Wang, PA-C 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 Ph: (971) 202-5500  | 
James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708  | |
David Pritchett, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067  | |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000  | |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613  | |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910  | |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110  | |
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670  |