NPI 1003548561

Addison Landry, PAC

Practitioner Physician Assistant Portland, ME

Practice location

Address: 818 Congress St, Portland, ME 04102-3112
Phone: (207) 773-8161
Fax: (207) 773-1489

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2881 (ME)

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Registry record

NPI: 1003548561
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2022
Record last updated: 14 Jul 2025

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.