Geoffrey Xiao, PA-C
Physician Assistant, Medical in Tigard, OR. Individual provider (NPI-1).
Details
- NPI
- 1790132017
- Entity type
- Individual (NPI-1)
- Name
- Mr. Geoffrey Xiao
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2016
- Last updated
- Nov 26, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA178428 | OR | Yes |
Practice location
15895 Sw 72nd Ave Ste 250Tigard, OR 97224-7966
Phone 503-624-5630 · Fax 503-624-9149
Mailing address
1840 E Ray RdChandler, AZ 85225-8720
Phone 855-397-0197 · Fax 800-272-6512
Other practice locations
Portland, OR 97232-1862
Phone 503-284-1937 · Fax 503-434-1190
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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