Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN RICHARD PENNER, PA-C
ActiveIAN RICHARD PENNER, PA-C is a Medical Physician Assistant healthcare provider located in SCAPPOOSE, Oregon. NPI 1457680613 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SCAPPOOSE, OR
Registration Details
- NPI Number
- 1457680613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2009 (16.638125358721 yrs)
- Last Updated
- Dec 29, 2020
Practice Information
- Address
-
51377 SW OLD PORTLAND RDSCAPPOOSE, OR, 970564018Browse OR providers · Browse ZIP 97056
- Phone
- 5035433181
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Other Medical Physician Assistant Providers in SCAPPOOSE, OR
| Name | Credential | NPI |
|---|---|---|
| MS. MARY C REGAN | PA-C | 1740276344 |
| MICHAEL EARL YETTER | PA-C | 1538196621 |
| MS. AUBREY BRIDGES | — | 1700103975 |
| GREGORY RANDOLPH | PA-C | 1780177964 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.