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NPI Code Detail

MEDICARE: ANDREW DOAN

MEDICARE: ANDREW DOAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1659238525
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW DOAN
Provider Business Mailing Address
First Line : 13665 SW NAHCOTTA DR
Second Line :
City : TIGARD
State : OR
Zip : 97223-5776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5423
Country : US
Telephone Number : 718-488-1505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ ANDREW DOAN ” Practice Location

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