MARK WESLEY HAFFNER PA
NPI 1982821922
Physician Assistant - Surgical in Portland, OR

Q: What is Mark Haffner's NPI number?

The NPI number for Mark Haffner is 1982821922. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Mark Haffner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Haffner was last updated on September 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2007PECOS Enrolled

2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210(503) 226-6321(503) 227-3422 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark Wesley Haffner Pa NPPES

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

MARK WESLEY HAFFNER PA (NPI 1982821922) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA158963) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982821922

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMARK WESLEY HAFFNERCredential: PA

Location Address2222 NW LOVEJOY ST, SUITE 315Portland, OR 97210-5101

Mailing Address2222 Nw Lovejoy St, Suite 315Portland, OR 97210-5101 · (503) 226-6321 · Fax (503) 227-3422

Phone(503) 226-6321

Fax(503) 227-3422

Sole ProprietorNo

Enumeration DateApril 19, 2007

Last NPPES UpdateSeptember 9, 2015

✔ NPI 1982821922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in OR · PA158963✔ Licensed in MA · 1618✔ Licensed in WA · PA60291947

2222 NW LOVEJOY ST, Portland, OR 97210

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Other Identifiers 4

Medicare PIN165088OR

Medicaid1982821922WA

Medicaid500645833OR

Medicare PIN8912378WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Wesley Haffner 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.