Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELINE I CAVALLACCI, PA-C
ActivePhysician Assistant · MEDFORD, OR
Registration Details
- NPI Number
- 1235113994
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2005 (20.376702723204 yrs)
- Last Updated
- Mar 7, 2023
- License
-
PA2939 (FL)
Practice Information
- Address
-
1600 DELTA WATERS RDSUITE 107MEDFORD, OR, 975049114Browse OR providers · Browse ZIP 97504
- Phone
- 5418582515
- Fax
- 5418582514
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MR. TERRY L JONES | PA C | 1407842636 |
| MS. BRANDEE DANKS | PA | 1437145265 |
| MS. MARY FREERICKS HUEBNER | PA-C | 1568452720 |
| PETER J GRAY | PA-C | 1528037397 |
| MR. GORDON D HART | PA-C | 1801852827 |
| DENISE A LEDBETTER | PA | 1770538498 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.