MS. KELEIGH MARIE NERSASIAN PA-C NPI 1215193057

NPI Information

NPI: 1215193057
Provider Name: MS. KELEIGH MARIE NERSASIAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6370 SW BORLAND RD
SUITE 200
TUALATIN, OR
ZIP 97062
Phone: (503) 691-1122
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MS. Keleigh Marie Nersasian, PA-C is a surgical physician assistant in Tualatin, OR with 16 years of experience. MS. Keleigh Marie Nersasian, PA-C NPI is 1215193057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6370 SW BORLAND RD
SUITE 200
TUALATIN, OR
ZIP 97062-768
Phone: (503) 691-1122
Fax: (503) 691-1144

The NPI 1215193057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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