Pacific Northwest Hair Restoration
NPI 1295651800ActiveOrganization· Surgery· Tigard, OR
Surgery in Tigard, Oregon, registered in NPPES in June 2026, part of Fountain of Youth, LLC. The authorized official on file is Andrew Patrick Higgins, MD, Owner/Provider.
Overview
| NPI | 1295651800 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fountain of Youth, LLC |
| NPI issued | Jun 26, 2026 |
| Last updated in NPPES | Jun 26, 2026 |
| Certified by provider | Jun 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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