PETER P MUSACCHIO


Address: 9800 Se Sunnyside Road, Clackamas, OR 97015-9750
Phone: 5036536440

PETER P MUSACCHIO (NPI# 1528151206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528151206
Entity Type Individual
Full Name PETER P MUSACCHIO
Credential PA
Practice Address 9800 Se Sunnyside Road
Clackamas
OR 97015-9750
Mailing Address 9800 Se Sunnyside Rd
Clackamas
OR 97015-9750
Practice Telephone 5036536440
Enumeration Date 2006-10-02
Last Update Date 2007-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10004785 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA00641 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9800 SE SUNNYSIDE ROAD
City CLACKAMAS
State OR
Zip Code 97015-9750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013268200 Lionel P Marx Physician Assistant 9800 Se Sunnyside Road, Kaiser Permanente, Clackamas, OR 97015-2156 2012-09-27
1295806958 Karin Thea Jacobson Family Medicine 9800 Se Sunnyside Road, Clackamas, OR 97015-9301 2006-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
Find all providers in zip 97015

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225131147 Jay Melvin Schmidt Physician Assistant 10100 Se Sunnyside Road, Mt Talbert Medical Office Dept of Neurosurgery, Clackamas, OR 97015 2006-09-06
1669583340 Johnny Wayne Siniscal Physician Assistant 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 2006-08-31
1003923293 Michael Hollenback Physician Assistant 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 2006-08-24
1063525707 Steven Bradley Oliver Physician Assistant 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 2006-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619575008 Janna Marie Check Physician Assistant 3555 Chad Drive, Eugene, OR 97408 2020-10-16
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1396250122 Saron Theresa Sufuentes Physician Assistant 578 Nw Marlborough Ave, Portland, OR 97210-3104 2017-12-01
1801321039 Devin Fleming Physician Assistant 22936 Ne Pike St, Troutdale, OR 97060-2615 2017-04-25
1710435011 Alexander Andersen Physician Assistant 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 2016-09-14
1952775520 Lauren Govier Physician Assistant 501 N Graham St Ste 415, Portland, OR 97227-2006 2015-11-19
1619346368 Ryan Mcmahon Physician Assistant 3415 Ne 20th Ave, Portland, OR 97212-2416 2015-09-23
1518366863 Latoya Allen Physician Assistant 2450 Highgate St, Unit 12, Medford, OR 97501-7955 2014-08-21
1528499910 Elan Kennedy Physician Assistant 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 2013-12-10
1699114421 Lauren M Kendall Physician Assistant 960 N 16th St Ste 108, Springfield, OR 97477-4175 2013-06-14
Find all providers with the same taxonomy

Competitor

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City CLACKAMAS
Zip Code 97015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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