JOHNNY WAYNE SINISCAL

CLACKAMAS, OR
NPI1669583340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  or PA 00079)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mr. JOHNNY WAYNE SINISCAL physicans assistant
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-8278
Mailing Address
Mr. JOHNNY WAYNE SINISCAL physicans assistant
20770 SW SANDRA LN
BEAVERTON, OR 97006-1846
Phone number:
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