Individual provider · Type 1 NPI

Jeremy Gaylon Waldie, PA-C

Physician Assistant · Salem, OR

NPI number 1043546534 Active

Practice location

374 Owens St SE
Salem, OR 97302-4183

Fax (503) 399-1406

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA165500 (OR)
Medical Physician Assistant 363AM0700XPA60120298 (WA)

Physician Assistant: 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, orde…

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About NPI 1043546534

Jeremy Gaylon Waldie, PA-C's National Provider Identifier is 1043546534, issued on Oct 19, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salem, OR. The record was last updated on Feb 13, 2020.