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Nurse Practitioner First Assistant Jobs in Portland, OR

First Assist * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Must-Have Requirements: • Active Oregon RN license required. • RNFA ...

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Nurse Practitioner or Physician Assistant

Battle Ground, WA · On-site

$116K - $150K/yr

Full-Time Urgent Care Nurse Practitioner (NP) or Physician Assistant (PA) Vital Care - Battle Ground, WA Vital Care is seeking a full-time Nurse Practitioner or Physician Assistant to join our busy ...

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Nurse Practitioner or Physician Assistant

Battle Ground, WA · On-site

$116K - $150K/yr

Full-Time Urgent Care Nurse Practitioner (NP) or Physician Assistant (PA) Vital Care - Battle Ground, WA Vital Care is seeking a full-time Nurse Practitioner or Physician Assistant to join our busy ...

Nurse Practitioner

Woodburn, OR · On-site

$70 - $90/hr

... first--both our patients, our providers and team members. We are seeking Nurse Practitioners or Physician Assistants to join our growing urgent care and occupational medicine team in Eugene, OR! Who ...

Nurse Practitioner

Woodburn, OR · On-site

$70 - $90/hr

... first--both our patients, our providers and team members. We are seeking Nurse Practitioners or Physician Assistants to join our growing urgent care and occupational medicine team in Eugene, OR! Who ...

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Nurse Practitioner First Assistant information

See Portland, OR salary details

$81.2K

$130.5K

$179.8K

How much do nurse practitioner first assistant jobs pay per year?

As of Sep 4, 2026, the average yearly pay for nurse practitioner first assistant in Portland, OR is $130,476.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,400.00 and $144,100.00 per year, depending on experience, location, and employer.

What is a nurse practitioner first assistant?

A Nurse Practitioner First Assistant (NPFA) is an advanced practice registered nurse who assists surgeons during surgical procedures. In this role, they provide direct patient care before, during, and after surgery, and perform specific tasks such as suturing, controlling bleeding, and handling tissues under the supervision of a surgeon. NPFA professionals are required to have specialized training and certification in surgical first assisting, in addition to their nurse practitioner credentials. Their expertise helps ensure surgeries run smoothly and patients receive comprehensive care throughout the surgical experience.

What are the key skills and qualifications needed to thrive as a nurse practitioner first assistant?

To thrive as a Nurse Practitioner First Assistant, you need advanced clinical knowledge, surgical assisting expertise, and an active RN license with completion of a Nurse Practitioner program and a First Assistant certification (such as RNFA). Familiarity with surgical instruments, electronic health records (EHRs), and perioperative care protocols is essential. Excellent communication, critical thinking, and teamwork skills help ensure safe and efficient collaboration with surgeons and operating room staff. These competencies are crucial for optimizing patient outcomes and providing high-quality surgical support.

How does a nurse practitioner first assistant typically collaborate with surgeons and other operating room staff during procedures?

As a Nurse Practitioner First Assistant (NPFA), you work closely with surgeons, anesthesiologists, and surgical nurses to ensure optimal patient outcomes during operations. Your responsibilities include providing direct surgical assistance, such as suturing, controlling bleeding, and handling tissues, as well as anticipating the surgeon's needs throughout the procedure. Effective communication and teamwork are crucial, as you help coordinate patient care before, during, and after surgery. This collaborative environment not only enhances patient safety but also offers valuable opportunities for professional development and skill-building within a multidisciplinary team.

What is the difference between Nurse Practitioner First Assistant vs Physician Assistant?

AspectNurse Practitioner First AssistantPhysician Assistant
CredentialsRegistered Nurse (RN) + specialized training or certification as a First AssistantMaster's degree in Physician Assistant Studies + certification (PANCE)
Work EnvironmentOperating rooms, surgical teams, hospitalsHospitals, clinics, surgical settings
Roles & ResponsibilitiesAssisting surgeons during procedures, pre- and post-operative carePerforming exams, diagnosing, assisting in surgeries

Both Nurse Practitioner First Assistants and Physician Assistants work closely in surgical settings, assisting during procedures and providing patient care. While Nurse Practitioner First Assistants typically have advanced nursing credentials and specialized surgical training, Physician Assistants hold a master's degree and are trained to perform a broad range of medical tasks. Understanding these differences helps clarify their roles in healthcare teams.

What are popular job titles related to Nurse Practitioner First Assistant jobs in Portland, OR?

For Nurse Practitioner First Assistant jobs in Portland, OR, the most frequently searched job titles are:

What cities near Portland, OR are hiring for Nurse Practitioner First Assistant jobs?

Cities near Portland, OR with the most Nurse Practitioner First Assistant job openings:

Infographic showing various Nurse Practitioner First Assistant job openings in Portland, OR as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $130,476 per year, or $62.7 per hour.

Local Contract Nurse Practitioner - Cardiovascular/Cardiothoracic Surgery

Medlivo

Clackamas, OR • On-site

$100 - $130/hr

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.


Job description

Medlivo is seeking a Nurse Practitioner Cardiovascular/Cardiothoracic Surgery for a local contract job in Clackamas, Oregon.

Job Description & Requirements
  • Specialty: Cardiovascular/Cardiothoracic Surgery
  • Discipline: Nurse Practitioner
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Local Contract

Cardiothoracic Surgery NP/PA – Kaiser Permanente | Clackamas, OR
 

💰 Pay Rate: $100–$130/hr
 

Specialty: Cardiothoracic Surgery Nurse Practitioner / Physician Assistant
Location: Kaiser Permanente – Mt. Talbert Medical Office, Clackamas, OR
Setting: Inpatient
Coverage: ASAP – 1 year
FTE: 1
Schedule: 4×10s, approximately 7:00 AM–5:00 PM; exact schedule TBD
EMR: EPIC (Health Connect)
 

Position Overview

Kaiser Permanente is seeking an experienced Cardiothoracic Surgery NP/PA to provide inpatient coverage due to a vacancy. The provider will support cardiovascular and cardiothoracic surgery services, including first assisting, postoperative rounding, and clinic coverage as needed.
 

Key Responsibilities
 
  • First assist during cardiovascular and cardiothoracic surgery cases
  • Vein harvesting experience required
  • Radial artery harvesting experience preferred
  • Perform inpatient postoperative rounding and patient management
  • Provide clinic support as needed
  • Collaborate with cardiothoracic surgeons and multidisciplinary teams
  • Maintain accurate documentation in EPIC/Health Connect
Requirements
  • Active Oregon (OR) license required
  • Board Certified
  • Cardiothoracic/cardiovascular surgery experience
  • Vein harvesting experience required
  • First-assist experience
  • BLS & ACLS – American Heart Association
  • Vaccination preferred; waivers considered
Additional Details
  • May float between Mt. Talbert/Westside and Sunnyside based on case volume
About Medlivo


Benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Health Care FSA
  • Life insurance
  • Sick pay
  • Holiday Pay
  • Medical benefits