IndividualActive
An Ruan, PA-C
NPI 1639791726 · Surgical Physician Assistant · Salem, OR
Provider details
- NPI number
- 1639791726
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
875 Oak St Se Ste 5060
Salem, OR 97301-3987
Phone: (033) 991-3865
Fax: (503) 399-1182
Approximate (ZIP-level) locationGet directions
Mailing address
875 Oak St. Se #5060
Salem, OR 97301
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.