MR. BRYAN LEE CANWELL PA-C NPI 1598741860

NPI Information

NPI: 1598741860
Provider Name: MR. BRYAN LEE CANWELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
46314 TIMINE WAY
PENDLETON, OR
ZIP 97801
Phone: (541) 966-9830
Get Directions

MR. Bryan Lee Canwell, PA-C is a medical physician assistant in Pendleton, OR. MR. Bryan Lee Canwell, PA-C NPI is 1598741860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46314 TIMINE WAY
PENDLETON, OR
ZIP 97801
Phone: (541) 966-9830
Fax: (541) 240-8751

The enumeration date for this NPI number is 12/19/2005 and was last updated on 8/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA157064	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500650388	MEDICAID	OREGON
2	8944528	OTHER	WASHINGTON	L&I-CRIME VICTIM
3	8370884	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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