Basic Information
| Provider Information | |||||||||
| NPI: | 1225019581 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOSS | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | PA-C, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45045 NW ELK MOUNTAIN RD | ||||||||
| Address2: | |||||||||
| City: | BANKS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971067633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033243118 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2875 NE STUCKI AVE | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971245806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038132000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2005 | ||||||||
| LastUpdateDate: | 03/07/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0114X | PA00702 | OR | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 363A00000X | PA00702 | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.