Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID LAWRENCE FEDEROFF, PA
ActiveDAVID LAWRENCE FEDEROFF, PA is a Physician Assistant healthcare provider located in BROWNSVILLE, Oregon. NPI 1356812291 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BROWNSVILLE, OR
Registration Details
- NPI Number
- 1356812291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2018 (7.6545851575125 yrs)
- Last Updated
- Aug 28, 2025
- Licenses
-
56220 (CA)PA195905 (OR)PA195905 (OR)
Practice Information
- Address
-
157 SPAULDING AVEBROWNSVILLE, OR, 97327Browse OR providers · Browse ZIP 97327
- Phone
- 5414516940
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
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.