# PNW SURGICAL ASSISTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427700798
- **Authorized official:** TYLER LAURENT CSFA (PRESIDENT)
- **Authorized official phone:** (971) 678-2298

## Contact information

- **Practice address:** 7300 SW CHILDS RD STE A, TIGARD, OR 97224-7772
- **Practice address phone:** (503) 612-8452
- **Mailing address:** 740 MAIN ST, FAIRVIEW, OR 97024-1909
- **Mailing address phone:** (971) 678-2298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 01/20/2022