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Mr. Cullen Anthony Mack, PA
Physician Assistant in Medford, Oregon
NPI 1104369099

Cullen Anthony Mack is a Physician Assistant based in Medford, OR. Cullen Anthony Mack practices in Medford, OR and has the professional credentials of PA. The NPI Number for Cullen Anthony Mack is 1104369099 and holds a License No. 180563 (Oregon).

The current practice location address for Cullen Anthony Mack is 235 E Barnett Rd, Medford, OR and can be reached out via phone at 541-773-4029.

Location: 235 E Barnett Rd, Medford, OR, 97501-5873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104369099
Provider Name
Cullen Anthony Mack
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
235 E Barnett Rd, Medford, OR, 97501-5873
Phone Number
541-773-4029
Fax Number
Provider Enumeration Date
11/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA180563 01 MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
235 E Barnett Rd
City
Medford
State
Oregon
Zip
97501-7901
Phone Number
541-773-4029
Fax Number
person
Provider Business Mailing Address Details
Address
235 E Barnett Rd
City
Medford
State
Oregon
Zip
97501-7901
Phone Number
541-773-4029
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
180563 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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