MR. JOHNNY WAYNE SINISCAL PHYSICANS ASSISTANT
NPI 1669583340
Physician Assistant - Surgical in Clackamas, OR
Active since August 31, 2006
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-8278(503) 571-2740 Get Directions Write a Review
About Mr. Johnny Wayne Siniscal Physicans Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHNNY WAYNE SINISCAL PHYSICANS ASSISTANT (NPI 1669583340) is an individual surgical provider in Clackamas, Oregon, licensed in Oregon (OR PA 00079) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1669583340
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JOHNNY WAYNE SINISCALCredential: PHYSICANS ASSISTANT
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address20770 Sw Sandra LnBeaverton, OR 97006-1846
Phone(503) 571-8278
Fax(503) 571-2740
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669583340 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · OR PA 00079
10100 SE SUNNYSIDE RD, Clackamas, OR 97015
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Orthopaedic Surgery
10100 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Registered Nurse (Women's Health Care, Ambulatory)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, KAISER PERMANENTE MT. TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Urology
10100 SE SUNNYSIDE RD, MT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669583340, enumerated as an "individual" on August 31, 2006.
The provider is located at 10100 SE SUNNYSIDE RD CLACKAMAS, OR 97015 and the phone number is (503) 571-8278.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.