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Contact Information

LISA M COWAN, PA-C
19260 SW 65TH AVE STE 270
TUALATIN, OR97062
 Phone: 503-885-9391
 Fax: 503-563-5520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA M COWAN · (Female)

NPI Number 1003807884
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/02/2005
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA00679
  • OR Medicaid 215608
  • Other R113018 MEDICARE PTAN
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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