Most Relevant Information
Provider Data
| NPI Number: | 1003471491 |
| Provider Name: | MICHAEL EDWARD PURVIS PAC |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA202232 |
Most Important Dates
| Enumeration Date: | 05/01/2019 |
| Last Updated: | 11/22/2023 |
Provider Practice Location
9155 SW BARNES RD STE 440
PORTLAND
OR
972256631
Practice Location Phone/Fax
| Phone: | 5039358500 |
| Fax: | 5039358505 |
Provider Mailing Location
541 NE 20TH AVE STE 225
PORTLAND
OR
972322895
Provider Mailing Phone/Fax
| Phone: | 5039632801 |
| Fax: | 5039632825 |