Healthcare Provider Details

I. General information

NPI: 1427670660
Provider Name (Legal Business Name): CLAUDEMIR DA SILVA LIMA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 S FRONT ST STE 200
CENTRAL POINT OR
97502-2779
US

IV. Provider business mailing address

PO BOX 31001
PASADENA CA
91110-4180
US

V. Phone/Fax

Practice location:
  • Phone: 541-732-8000
  • Fax:
Mailing address:
  • Phone: 541-732-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA206798
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: