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Contact Information

JAMIE MAHONEY, PA
2875 NE STUCKI AVE
HILLSBORO, OR97124
 Phone: 971-413-8027
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAMIE MAHONEY · (Female)

NPI Number 1730391665
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/04/2007
Last updated 07/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 150728
  • OR Medicaid 1730391665
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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