3Rd Hand Surgical Assist LLC
Organization Active NPI Surgical Physician Assistant · Portland, OR
NPI 1760820542 · NPPES record last updated Jan 14, 2016
Key facts
- NPI
- 1760820542
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA00508 (OR)
- Legal business name
- 3RD HAND SURGICAL ASSIST LLC
- Practice address
- 3600 SW 93Rd Ave
Portland, OR 97225-2815 - Phone
- (503) 860-0619
- Fax
- (503) 297-2649
- NPI assigned
- Jun 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Patricia Leigh Henderson, PA-C
- Title
- Member Owner
- Phone
- (503) 860-0619
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant |
363AS0400X | PA00508 | OR | Yes |
Addresses
Primary practice location
3600 SW 93Rd Ave
Portland, OR 97225-2815
Mailing address
3600 SW 93Rd Ave
Portland, OR 97225-2815
Phone (503) 860-0619
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.