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

Mrs. Kristy M Aghayan, PA-C is a Physician Assistant, Surgical based in Portland, OR. Mrs. Kristy M Aghayan, PA-C holds the professional credentials of PA-C. The NPI number for Mrs. Kristy M Aghayan, PA-C is 1083755607 and holds license No. PA155946 (OR). The current practice location address is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and the office can be reached by phone at 503-494-5300. The NPI was assigned on February 8, 2007 and the record was last updated in NPPES on March 7, 2012.

●Provider Profile Details

NPI Number
1083755607
Provider Name
Kristy Merck Aghayan
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Enumeration Date
February 8, 2007
Last Update Date
March 7, 2012
NPI Status
Active

◉Business Practice Location Address

Address
3181 SW Sam Jackson Park RD
Portland, OR 97239-3011
State
Oregon
ZIP
97239-3011
Country
US
Phone Number
503-494-5300

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XNoPA155946OR
Physician Assistant, Surgical363AS0400XYes——

#Other Provider Identifiers

No legacy or other 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) and holds license No. PA155946 (OR).

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 at npiregistry.cms.hhs.gov.

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