| Christopher R Sturdevant, PA-C | |
|
1801 Hwy 99 N, Ste 2, Ashland, OR 97520-9152 | |
| (541) 488-4464 | |
| (541) 488-3772 |
| Full Name | Christopher R Sturdevant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1801 Hwy 99 N, Ashland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396770582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA00801 (Oregon) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA00801 (Oregon) | Secondary |
| Entity Name | Pain Care of Oregon LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699793505 PECOS PAC ID: 3779550785 Enrollment ID: O20040910000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R Sturdevant, PA-C 825 Bennett Ave, Ste 2, Medford, OR 97504-6715 Ph: (541) 608-1997 | Christopher R Sturdevant, PA-C 1801 Hwy 99 N, Ste 2, Ashland, OR 97520-9152 Ph: (541) 488-4464 |
Laura Buckley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Central Ave, Ashland, OR 97520 Phone: 541-482-7799 |
Revaz Boukia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 280 Maple St, Ashland, OR 97520 Phone: 541-201-4000 Fax: 541-488-7437 |
Dorothy K Miner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 935 Siskiyou Blvd, Ashland, OR 97520 Phone: 541-488-4217 Fax: 541-482-1224 |
Jennifer Ingrid Beaudoin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Central Ave, Ashland, OR 97520 Phone: 541-482-9741 Fax: 541-488-6141 |
Alexandra Elizabeth Stout, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Central Ave, Ashland, OR 97520 Phone: 541-482-9741 Fax: 541-488-6141 |