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Contact Information

BRYAN L CANWELL, PA-C
46314 TIMINE WAY
PENDLETON, OR97801
 Phone: 541-966-9830
 Fax: 541-240-8751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRYAN L CANWELL · (Male)

NPI # 1598741860
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/19/2005
Last updated 08/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA157064
  • OR Medicaid 500650388
  • WA Medicaid 8370884
  • WA Other 8944528 L&I-CRIME VICTIM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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