Ethan Pace

Physician Assistant · Medford, OR

Individual Active NPI

NPI number 1508421751

Practice location

3011 E Barnett Rd
Medford, OR 97504
Phone
(541) 789-4673
Fax
(541) 789-2121

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NPI record

NPI
1508421751
Entity type
Individual (Type 1)
Enumeration date
May 2, 2019
Last updated
January 17, 2022
Certified
January 13, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Hematology & Oncology Physician 207RH0003X PA197772 OR

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone
(541) 789-4111
Fax
(541) 789-5518

Other practice locations (1)

  • 510 SW Ramsey Ave, Grants Pass, OR 97527-5554 · (541) 789-4673

About Ethan Pace

Ethan Pace is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3011 E Barnett Rd, Medford, OR 97504. The NPI number 1508421751 was assigned on May 2, 2019 and the record was last updated on January 17, 2022.

Ethan Pace lists a license in the registry: #PA197772 (OR) for Hematology & Oncology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Pace?

The NPI number is 1508421751.

What is the phone number of Ethan Pace?

The phone number listed for the practice location is (541) 789-4673.

Where is Ethan Pace located?

3011 E Barnett Rd, Medford, OR 97504.

What is the taxonomy code for Ethan Pace?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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