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Joy Elizabeth Light, PA
Medical Physician Assistant in Madras, Oregon
NPI 1770961377

Joy Elizabeth Light is a Medical Physician Assistant based in Bend, OR and is specialized in Medical. Joy Elizabeth Light practices in Madras, OR and has the professional credentials of PA. The NPI Number for Joy Elizabeth Light is 1770961377 and holds a License No. PA179809 (Oregon).

The current practice location address for Joy Elizabeth Light is 500 Ne A St Ste 100, Madras, OR and can be reached out via phone at 541-383-3005 and via fax at 541-383-1883.

Location: 500 Ne A St Ste 100, Madras, OR, 97702-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770961377
Provider Name
Joy Elizabeth Light
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
500 Ne A St Ste 100, Madras, OR, 97702-1099
Phone Number
541-383-3005
Fax Number
541-383-1883
Provider Enumeration Date
05/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500715727 05 OR
institution
Provider Business Practice Location Address Details
Address
500 Ne A St Ste 100
City
Madras
State
Oregon
Zip
97741-1842
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider Business Mailing Address Details
Address
500 Ne A St Ste 100
City
Madras
State
Oregon
Zip
97741-1842
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA179809 (Oregon)
Definition
Definition to come...
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