PNW SURGICAL ASSISTING LLC NPI 1427700798

NPI Information

NPI: 1427700798
Provider Name: PNW SURGICAL ASSISTING LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
7300 SW CHILDS RD STE A
TIGARD, OR
ZIP 97224
Phone: (503) 612-8452
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PNW SURGICAL ASSISTING LLC is a surgical physician assistant in Tigard, OR. PNW SURGICAL ASSISTING LLC NPI is 1427700798. The provider is registered as an organization entity type.

The provider's business location address is:

7300 SW CHILDS RD STE A
TIGARD, OR
ZIP 97224-772
Phone: (503) 612-8452

The provider's authorized official is Tyler Laurent .
The authorized official title is President and has the following contact phone number (971) 678-2298.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 1/20/2022.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			No
2	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: 4/28/2024

NPI Synchronization or Removal

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