Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Justin Robert Thibeault, PA-C

Surgical Physician Assistant in Portland, OR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376579631

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Registry record

Entity type Individual (Type 1)

Name Mr. Justin Robert Thibeault

Credential PA-C

Sex Male

Practice address 1515 Nw 18th Ave, 3rd Floor, Portland, OR, 97209

Phone (503) 224-8399

Fax (503) 224-5661

Enumeration date Jun 25, 2006

Last updated in NPPES Jul 6, 2016

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA153476 (OR) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1376579631 active?

Yes, as of the latest NPPES snapshot, NPI 1376579631 is active (record last updated 2016-07-06).

How do I verify Justin Thibeault's NPI record?

Cross-check NPI 1376579631 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-06.