Active NPIIndividual provider

Mrs. Kristy M Aghayan, PA-C

Physician Assistant, Surgical in Portland, Oregon

NPI Number1083755607
Practice location
3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
Fax
—
Last updated
March 7, 2012

Kristy Merck Aghayan is a Physician Assistant, Surgical based in Portland, OR. Kristy Merck Aghayan practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Kristy Merck Aghayan is 1083755607 and holds a License No. PA155946 (OR). The current practice location address for Kristy Merck Aghayan is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and can be reached out via phone at 503-494-5300.

Provider Profile Details

NPI Number
1083755607
Provider Name
Kristy Merck Aghayan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
Phone Number
503-494-5300
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2007
Last Update Date
March 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3011
State
Oregon
Zip
97239-3011
Phone Number
503-494-5300
Portland, OR 97239Get directions →

Provider Business Mailing Address Details

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3011
City
Portland
State
OR
Zip
97239-3011
Phone Number
503-494-5300

License Information

License Number (1)
PA155946
License State (1)
OR
Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kristy M Aghayan, PA-C?

The NPI number of Mrs. Kristy M Aghayan, PA-C is 1083755607. It was assigned on February 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristy M Aghayan, PA-C?

Mrs. Kristy M Aghayan, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in OR under license number PA155946.

Where does Mrs. Kristy M Aghayan, PA-C practice?

The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011. The office can be reached at 503-494-5300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083755607 directly on the NPPES registry website.

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