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MR. TIMOTHY SCOTT CARRASCO PA
NPI 1598954976
Physician Assistant - Surgical in Portland, OR

Active since October 22, 2007PECOS Enrolled
9495 SW LOCUST ST, SUITE # A, PORTLAND, OR 97223(503) 636-9011(503) 471-0504 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Timothy Scott Carrasco Pa NPPES

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

MR. TIMOTHY SCOTT CARRASCO PA (NPI 1598954976) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA00732) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598954976
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. TIMOTHY SCOTT CARRASCOCredential: PA
Location Address9495 SW LOCUST ST, SUITE # APortland, OR 97223-6683
Mailing Address9495swlocust St APortland, OR 97223-6683 · (503) 636-9011 · Fax (503) 636-3952
Phone(503) 636-9011
Fax(503) 471-0504
Sole ProprietorNo
Enumeration DateOctober 22, 2007
Last NPPES UpdateAugust 20, 2015
✔ NPI 1598954976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA00732
Also ListedSpecialistTaxonomy 174400000X · License PA00732 (OR)
9495 SW LOCUST ST, Portland, OR 97223
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN109311OR
Medicare UPINP29734OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Scott Carrasco Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

TARA PEMBERTON PA-C
Physician Assistant (Medical)
9495 SW LOCUST ST, SUITE A & E
PORTLAND, OR 97223
Washington County (503) 505-5937
JANNELLE MARIE FUKUJI PA-C
Physician Assistant (Medical)
9495 SW LOCUST ST, SUITE A
PORTLAND, OR 97223
Washington County (503) 696-9011
MS. ELIZABETH KAY SMITH NP
Nurse Practitioner (Family)
9495 SW LOCUST ST, SUITE A
PORTLAND, OR 97223
Washington County (503) 636-9011

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 Timothy Carrasco's NPI number?

The NPI number for Timothy Carrasco is 1598954976. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Timothy Carrasco located?

Timothy Carrasco practices at 9495 SW Locust St Suite # A, Portland, OR 97223. The listed phone number is (503) 636-9011.

What is Timothy Carrasco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Timothy Carrasco enrolled in Medicare?

Yes. Timothy Carrasco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Carrasco was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.