Individual provider · Type 1 NPI

Mansukh Kaur, PA-C

Physician Assistant · Portland, OR

NPI number 1639822976 Active · reactivated Dec 10, 2025

Practice location

11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935

Call (503) 228-4414 Map

Mailing address

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639822976

Mansukh Kaur, PA-C's National Provider Identifier is 1639822976, issued on Jan 27, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on May 4, 2026.