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CARLEY PUTNAM PA-C NPI 1649782699


NPI Information

NPI: 1649782699
Provider Name: CARLEY PUTNAM, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: OREGON HEALTH AND SCIENCES UNIVERSITY/UNIVERSITY MEDICAL GROUP

PECOS Registration: Yes

Address:
3303 SW BOND AVE STE 5
PORTLAND, OR
ZIP 97239
Phone: (503) 494-6687
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Carley Putnam, PA-C is a surgical physician assistant in Portland, OR with 7 years of experience. Carley Putnam, PA-C NPI is 1649782699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3303 SW BOND AVE STE 5
PORTLAND, OR
ZIP 97239-501
Phone: (503) 494-6687
Fax: (503) 494-1717

The NPI 1649782699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 9/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgicalPA187398OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.