Organization Active NPI

Pacific Northwest Hair Restoration

  • Surgery Physician
  • Tigard, OR
National Provider Identifier
1295651800
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PACIFIC NORTHWEST HAIR RESTORATION
Practice address
9735 SW Shady LN Ste 200
Tigard, OR 97223-5481
Phone
(503) 941-5029
Fax
(503) 941-5029
NPI assigned
Jun 26, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNTAIN OF YOUTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Patrick Higgins, MDNPI 1225003452
Title
Owner/Provider
Phone
(541) 480-6612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

9735 SW Shady LN Ste 200
Tigard, OR 97223-5481

Mailing address

2450 NE Mary Rose PL Ste 205
Bend, OR 97701-7132
Phone (541) 749-7000

Other practice location 1

2450 NE Mary Rose Pl Ste 205
Bend, OR 97701-7132
Phone (541) 749-4247

National Provider Directory

National Provider Directory
Part of
Pacific Northwest Hair Restoration

Locations

9735 SW Shady Ln
Ste 200
Tigard, OR 97223
Phone (503) 624-1350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1295651800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-749-7000",
            "fax_number": "541-749-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-941-5029",
            "fax_number": "503-941-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 NE Mary Rose Pl Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017132",
            "country_code": "US",
            "telephone_number": "541-749-4247",
            "fax_number": "541-749-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST HAIR RESTORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNTAIN OF YOUTH, LLC",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-480-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.