Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB WATTERS
ActiveJACOB WATTERS is a Physician Assistant healthcare provider located in ROSEBURG, Oregon. NPI 1609480359 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROSEBURG, OR
Registration Details
- NPI Number
- 1609480359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2020 (5.9369322535458 yrs)
- Last Updated
- Oct 1, 2020
- License
-
PA201167 (OR)
Practice Information
- Address
-
2700 NW STEWART PKWYROSEBURG, OR, 974711281Browse OR providers · Browse ZIP 97471
- Phone
- 5416730611
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| EVE MARIE TRAILL | PA-C | 1356331060 |
| KERRY LYN HARRINGTON | PA-C | 1760473060 |
| MARGOT OUIMETTE | PA | 1700858289 |
| CHARLES A MUSGRAVE | PA-C | 1386617520 |
| MR. CLYDE TERRENCE BANCROFT | PA | 1841397742 |
| PAUL J FIEBER | P.A. | 1043371305 |
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.