Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Northwest Hair Restoration

Organization Surgery Physician · NPI 1295651800

Pacific Northwest Hair Restoration is a Surgery Physician in Tigard, Oregon. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

9735 SW Shady Ln Ste 200
Tigard, OR 97223-5481
Phone: (503) 941-5029
Fax: (503) 941-5029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Ne Mary Rose Pl Ste 205, Bend, OR 97701-7132 — (541) 749-4247

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1295651800
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFountain of Youth, LLC
Authorized official Andrew Higgins — Owner/Provider · (541) 480-6612
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address2450 Ne Mary Rose Pl Ste 205, Bend, OR 97701-7132

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