IndividualActive
Andrea Huxtable, PAC
NPI 1205463312 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1205463312
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA202788 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2701 Nw Vaughn St Ste 150
Portland, OR 97210-5379
Phone: (503) 229-8455
Fax: (503) 229-7028
Approximate (ZIP-level) locationGet directions
Mailing address
541 Ne 20th Ave Ste 225
Portland, OR 97232-2895
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.