JACOB PETER HAUPTMAN P.A.-C NPI 1285802850

NPI Information

NPI: 1285802850
Provider Name: JACOB PETER HAUPTMAN, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PROVIDENCE HEALTH AND SERVICES OREGON

PECOS Registration: Yes

Address:
1321 NE 99TH AVE
#200
PORTLAND, OR
ZIP 97220
Phone: (503) 215-4250
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Jacob Peter Hauptman, P.A.-C is a medical physician assistant in Portland, OR with 17 years of experience. Jacob Peter Hauptman, P.A.-C NPI is 1285802850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

1321 NE 99TH AVE
#200
PORTLAND, OR
ZIP 97220-436
Phone: (503) 215-4250

The NPI 1285802850 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 2/15/2008 and was last updated on 10/19/2020.

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	363AM0700X	Physician Assistant	Medical	161825	OREGON	Yes
2	363AM0700X	Physician Assistant	Medical	PA20495	CALIFORNIA	No
3	363AM0700X	Physician Assistant	Medical	002042	CONNECTICUT	No

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: 11/14/2023

NPI Synchronization or Removal

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