Look up the most recent NPI and PECOS records

Paxton Fix

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Paxton Fix is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164054979
Provider Type
Individual
Full Name
Fix, Paxton
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/10/2020
Last Updated
11/28/2023

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-8311

Unlisted Fax

Mailing Location

3351 S Holden Ave, Boise, ID 83706-5395

(208) 869-0346

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA197836 Oregon

Paxton Fix

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mesa, Kendra D

Peoro, Kimberly

Schulzetenberg, Briana

Moredock, Maria Grompe

Wheeler, Stacey Ann

Gu, Melody W

Early, Jocelyn M

Masterson, Rachael

Lechich, Kirstie Macmillen

Malhotra, Tulika Agarwal