MEDICARE: DAMARIS ABIGAIL POP PA

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1922966142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMARIS ABIGAIL POP PA

Provider Business Mailing Address
First Line	:	3409 SW 30TH ST
Second Line	:
City	:	GRESHAM
State	:	OR
Zip	:	97080-9423
Country	:	US
Telephone Number	:	503-847-1859
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 SW 30TH ST
Second Line	:
City	:	GRESHAM
State	:	OR
Zip	:	97080-9423
Country	:	US
Telephone Number	:	503-847-1859
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ DAMARIS ABIGAIL POP PA” Practice Location

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