Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639822976 Deactivated / Inactive NPI Female Practitioner

Mansukh Kaur , PA-C

Physician Assistant • Portland, OR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mansukh Kaur has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2022
NPI Deactivation Date August 15, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Mansukh Kaur, PA-C was a registered Physician Assistant practicing in Portland, OR. Throughout an active medical career spanning 2 years, Mansukh Kaur provided care at the practice location at 11790 SW BARNES RD STE 330 until profile deactivation on 2024-08-15.

Practice Location & Contact Primary Location

Practice Address

11790 Sw Barnes Rd Ste 330

Portland, OR 972255935

Telephone 5032284414
Associated Practice Facility / Clinic
🏢 Gerald B Rich Md Pc Facility NPI 1043693864

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Radhika Breaden , MD

Internal Medicine - Sleep Medicine

NPI 1154462257

Doctor of Medicine (M.D.)

Dr. Gregory Clark , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1225141823

Doctor of Medicine (M.D.)

Dr. Gerald Rich , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1548360829

Doctor of Medicine (M.D.)

Brianna Hanson , PA-C

Physician Assistant

NPI 1841508009

Physician Assistant (Certified)

Amanda Huang , PA

Physician Assistant

NPI 1942715487

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 04, 2026

Registered at 11790 SW BARNES RD STE 330, PORTLAND, OR 972255935 (Tel: 5032284414)

📍
Updated Practice Location December 31, 2025

Registered at 1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 934547023 (Tel: 8056217644)

📍
Updated Business Mailing Address December 31, 2025

Registered at 1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 934547023

👤
Provider Name / Credentials Updated December 31, 2025

Recorded as MANSUKH KAUR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2025

Physician Assistant

⚠️
NPI Profile Deactivated August 15, 2024

Record deactivated on August 15, 2024

NPI Profile Active January 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2022

Registered at 1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 952078107 (Tel: 8774182978)

📍
Updated Business Mailing Address January 27, 2022

Registered at 350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 334411834 (Tel: 8774182978)

👤
Provider Name / Credentials Updated January 27, 2022

Recorded as MANSUKH KAUR, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 27, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mansukh Kaur. Be the first to share your experience!

Sign in to leave a review for Mansukh Kaur

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639822976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2022
Last Update: May 04, 2026
Deactivation Date: August 15, 2024
Sole Proprietor: No

Mailing Address

1075 E Betteravia Rd Ste 201

Santa Maria, CA 934547023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.