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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHNNY WAYNE SINISCAL, PHYSICANS ASSISTANT

Active Sole Proprietor

MR. JOHNNY WAYNE SINISCAL, PHYSICANS ASSISTANT is a Surgical Physician Assistant healthcare provider located in CLACKAMAS, Oregon. NPI 1669583340 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CLACKAMAS, OR

Registration Details

NPI Number
1669583340
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.985146763352 yrs)
Last Updated
Jul 8, 2007
License
OR PA 00079 (OR)
Sole Proprietor
Yes

Practice Information

Address
10100 SE SUNNYSIDE RD
CLACKAMAS, OR, 970158970
Browse OR providers · Browse ZIP 97015
Phone
5035718278
Fax
5035712740
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in CLACKAMAS, OR

Name Credential NPI
KRISTIEN MARIE SIMA PAC 1336132471
MICHAEL HOLLENBACK P.A.-C. 1003923293
JAY MELVIN SCHMIDT PA C 1225131147
PETER P MUSACCHIO PA 1528151206
CORRIE ANNE DOYLE PA-C 1902179237
PIOTR STAROSTA PA-C 1053747931
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.