MR. LARRY ALLEN PADDOCK JR. CSFA
NPI 1174115026
Specialist/Technologist, Other - Surgical Assistant in Mcminnville, OR

Active since February 10, 2021
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128(503) 435-6580 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Larry Allen Paddock Jr. Csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY ALLEN PADDOCK JR. CSFA (NPI 1174115026) is an individual surgical assistant in Mcminnville, Oregon and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1174115026
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMR. LARRY ALLEN PADDOCK JR.Credential: CSFA
Location Address2700 SE STRATUS AVEMcminnville, OR 97128-6239
Mailing Address2700 Se Stratus AveMcminnville, OR 97128-6239 · (503) 435-6580
Sole ProprietorNo
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1174115026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
2700 SE STRATUS AVE, Mcminnville, OR 97128

Other Identifiers 1

Other199390National Board Of Surgical Technology And Surgical Assisting

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Dietitian, Registered
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Internal Medicine (Gastroenterology)
2700 SE STRATUS AVE, SUITE 304
MCMINNVILLE, OR 97128
Radiology (Radiation Oncology)
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Internal Medicine
2700 SE STRATUS AVE, WILLAMETTE VALLEY HOSPITALISTS
MCMINNVILLE, OR 97128
Emergency Medicine
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Dietitian, Registered
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Orthopaedic Surgery (Sports Medicine)
2700 SE STRATUS AVE, SUITE 303
MCMINNVILLE, OR 97128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Paddock's NPI number?

The NPI number for Larry Paddock is 1174115026. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Larry Paddock located?

Larry Paddock practices at 2700 SE Stratus Ave, Mcminnville, OR 97128. The listed phone number is (503) 435-6580.

What is Larry Paddock's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Larry Paddock was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.