| Jacob Mitchell, PA-C | |
|
1000 Se Uglow Ave, Dallas, OR 97338-2645 | |
| (503) 623-8376 | |
| Not Available |
| Full Name | Jacob Mitchell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1000 Se Uglow Ave, Dallas, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598250292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA195749 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Hospital | Dallas, OR | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Health | 8628986668 | 435 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Mitchell, PA-C Po Box 13129, Salem, OR 97309-1129 Ph: () - | Jacob Mitchell, PA-C 1000 Se Uglow Ave, Dallas, OR 97338-2645 Ph: (503) 623-8376 |
Anna U Severin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 Fax: 503-623-5293 | |
Kari Wattenbarger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 | |
Chelsea Ruhoff Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 |