Provider Demographics
NPI:1083805220
Name:SENFT, DAVID CHARLES (PA/MPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHARLES
Last Name:SENFT
Suffix:
Gender:M
Credentials:PA/MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:19075 NW TANASBOURNE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5866
Mailing Address - Country:US
Mailing Address - Phone:503-718-5512
Mailing Address - Fax:917-793-0205
Practice Address - Street 1:19075 NW TANASBOURNE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5866
Practice Address - Country:US
Practice Address - Phone:503-718-5512
Practice Address - Fax:917-793-0205
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2010-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORPA01249363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant