Ian Richard Penner, PA-C

NPI #1457680613 in Scappoose, Oregon

Provider Information

NPI Number
1457680613
Entity Type
Individual
Name
Ian Richard Penner, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Dec 17, 2009
Last Updated
Dec 29, 2020

Practice Location

Address
51377 SW OLD PORTLAND RD
State
Oregon
ZIP Code
97056-4018
Phone
(503) 543-3181

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant

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