Whalio Doctors

NPI 1255954277

Nicole L Dane, PAC

Practitioner Physician Assistant Canby, OR

Practice location

Address
345 N Grant St, Canby, OR 97013-3689
Phone
(503) 266-2066
Fax
(503) 263-8719
Mailing address
345 N Grant St, Canby, OR 97013-3610

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA211194 (OR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence PA211194 (OR)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA211194 (OR)

Registry record

NPI
1255954277
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 May 2020
Record last updated
5 Dec 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.