Unknown Individual – Physician Assistant, NPI 1891759379
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
190, Riverside Street, Portland, Cumberland County, Maine, 04103, United States
SUITE 6B
PORTLAND, ME 041031073
Phone: (207) 661-2000
Type: Mailing
96, Campus Drive, Cumberland County, Maine, 04074, United States
SUITE 1
SCARBOROUGH, ME 040747163
Phone: (207) 885-9905
Fax: (207) 396-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04103)
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