NPIMap

Organization Active NPI

3Rd Hand Surgical Assist LLC

  • Surgical Physician Assistant
  • Portland, OR
National Provider Identifier
1760820542
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00508 Issued in 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
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Patricia Leigh Henderson, PA-CNPI 1265440309
Title
Member Owner
Phone
(503) 860-0619

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
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA00508 OR Primary

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

National Provider Directory

National Provider Directory

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": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1760820542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SW 93RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252815",
            "telephone_number": "503-860-0619",
            "fax_number": "503-297-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SW 93RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252815",
            "telephone_number": "503-860-0619",
            "fax_number": "503-297-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3RD HAND SURGICAL ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "503-860-0619",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.