Provider Type Icon

MARY PATRICIA SAUER PORTER PAC NPI 1407849631


NPI Information

NPI: 1407849631
Provider Name: MARY PATRICIA SAUER PORTER, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PEACEHEALTH

PECOS Registration: Yes

Address:
2222 NW LOVEJOY ST
SUITE 315
PORTLAND, OR
ZIP 97210
Phone: (503) 226-6321
Get Directions

Mary Patricia Sauer Porter, PAC is a surgical physician assistant in Portland, OR with 27 years of experience. Mary Patricia Sauer Porter, PAC NPI is 1407849631. 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:

2222 NW LOVEJOY ST
SUITE 315
PORTLAND, OR
ZIP 97210-033
Phone: (503) 226-6321
Fax: (503) 227-3422

The NPI 1407849631 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)

The enumeration date for this NPI number is 8/23/2005 and was last updated on 9/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA10003796WASHINGTONNo
2363AS0400XPhysician AssistantSurgicalPA00633OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116076MEDICARE ID-TYPE UNSPECIFIEDOREGONPORTLAND
2116069MEDICARE ID-TYPE UNSPECIFIEDOREGONSALEM
3021589MEDICAIDOREGON
4838459MEDICARE PINWASHINGTON
58435737MEDICAIDWASHINGTON
6147767MEDICARE PINOREGON
7S77429MEDICARE UPINOREGON
8AB38459MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONVANCOUVER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.