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NPI Code Detail

MEDICARE: LINSEY ELAINE ZOCCO PA-C

MEDICARE: LINSEY ELAINE ZOCCO PA-C
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 Assistant3498AZ

General Provider Information

NPI Number : 1902990757
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINSEY ELAINE ZOCCO PA-C
Provider Business Mailing Address
First Line : 619 NW 6TH AVE FL 5
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9000 N LOMBARD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-3006
Country : US
Telephone Number : 503-988-5558
Fax Number : 39-885-3055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/15/2023

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Directions to “ LINSEY ELAINE ZOCCO PA-C” Practice Location

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