NPI 1003471491

Michael Edward Purvis, PAC

Practitioner Surgical Physician Assistant Portland, OR

Practice location

Address: 9155 SW Barnes Rd STE 440, Portland, OR 97225-6631
Phone: (503) 935-8500
Fax: (503) 935-8505
Mailing address: 541 NE 20th Ave STE 225, Portland, OR 97232-2895

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA202232 (OR)

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Registry record

NPI: 1003471491
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2019
Record last updated: 22 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.