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

Mr. Timothy Scott Carrasco, PA

Individual provider Specialist · NPI 1598954976

Mr. Timothy Scott Carrasco, PA is a Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9495 SW Locust St Ste # A
Portland, OR 97223-6683
Phone: (503) 636-9011
Fax: (503) 471-0504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00732 (OR)
Specialist Taxonomy 174400000X · Licence PA00732 (OR)

Record details

NPI number1598954976
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 22, 2007
Last updated in NPPESAugust 20, 2015

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