Huxtable, Andrea Leigh

Huxtable, Andrea Leigh is an sole proprietor health care provider with primary practice located at 2222 Nw Lovejoy St Ste 622 , Portland OR 97210-5104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Huxtable, Andrea Leigh can be contacted via phone (503) 229-8455.

Contact Information

Primary practice address
2222 Nw Lovejoy St Ste 622 Portland OR 97210-5104
Phone: (503) 229-8455
Fax: (503) 229-7028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA202788 Oregon

Profile Details

NPI number 1205463312
LBN Legal business name Huxtable, Andrea Leigh
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2020
Last updated Nov 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205463312 NPPES
Washington MEDICAID 2177842
Washington MEDICAID 500793275

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