Mansukh Kaur, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935

Phone

(503) 228-4414

NPI assigned

Jan 27, 2022

Reactivated

Dec 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1639822976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E BETTERAVIA RD STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-228-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANSUKH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "deactivation_date": "2024-08-15",
        "reactivation_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjiv Kaul, MD
• Navnit Kaur-Jayaram, M.D.
• Amarpreet Kaur
• Harpreet Kaur, MD
• Manpreet Kaur
• Simrun Kaur, MD
• Supriya S Kaushik, PA-C
• Lisa L Kautzman, RN
• Kimberly Arlene Kauzer, MS, RD, LD
• Kimberly Kauzlarich, PHARMD

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.