Healthcare Provider Details

I. General information

NPI: 1578702536
Provider Name (Legal Business Name): JOSEPH WELCH PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANCIS JOSEPH WELCH IV PA-C

II. Dates (important events)

Enumeration Date: 02/16/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 NE RAY CIR STE 200
HILLSBORO OR
97124-6313
US

IV. Provider business mailing address

5920 NE RAY CIR STE 200
HILLSBORO OR
97124-6313
US

V. Phone/Fax

Practice location:
  • Phone: 503-297-3440
  • Fax: 503-297-4584
Mailing address:
  • Phone: 503-297-3440
  • Fax: 503-297-4584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number19919
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA130039
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: