Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY PAUL ROBERTS, PA-C
Active Sole ProprietorJEFFERY PAUL ROBERTS, PA-C is a Primary Care Clinic healthcare provider located in SPRINGFIELD, Oregon. NPI 1578782975 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · SPRINGFIELD, OR
Registration Details
- NPI Number
- 1578782975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.32420275001 yrs)
- Last Updated
- Jul 29, 2008
- Licenses
-
PA00684 (OR)PA00684 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1460 G STSPRINGFIELD, OR, 974774112Browse OR providers · Browse ZIP 97477
- Phone
- 5417264580
- Fax
- 5417263166
- Primary Specialty
-
Primary Care Clinic
261QP2300X
- 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.