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Active NPI 1669583340 Individual Practitioner Male Practitioner

Johnny Wayne Siniscal , PHYSICANS ASSISTANT

Physician Assistant - Surgical • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Johnny Siniscal, PHYSICANS ASSISTANT is a registered healthcare professional specializing in Physician Assistant - Surgical in Clackamas, OR. Practice services are available at 10100 SE SUNNYSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10100 Se Sunnyside Rd

Clackamas, OR 970158970

Telephone 5035718278
Fax 5035712740
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Clackamas, OR (368 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OR OR PA 00079

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Loren Jenkins , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1013025592

Doctor of Medicine (M.D.)

Dr. Jennifer Mattson , MD

Internal Medicine - Cardiovascular Disease

NPI 1023496700

Doctor of Medicine (M.D.)

Dr. Heather Crummett , MD

Obstetrics & Gynecology

NPI 1033291505

Doctor of Medicine (M.D.)

Tami Cochran , PTA

Physical Therapy Assistant

NPI 1033376074

Physical Therapist Assistant

Candy Chau

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1033714431
Heather Carey , RN

Registered Nurse - Ambulatory Care

NPI 1043752777

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10100 SE SUNNYSIDE RD, CLACKAMAS, OR 970158970 (Tel: 5035718278)

📍
Updated Business Mailing Address July 08, 2007

Registered at 20770 SW SANDRA LN, BEAVERTON, OR 970061846

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNNY SINISCAL, PHYSICANS ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #OR PA 00079 in OR)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669583340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

20770 Sw Sandra Ln

Beaverton, OR 970061846

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.