Individual provider · Type 1 NPI
Jon Douglas Gambill, PA-C
Medical Physician Assistant · Canyonville, OR
NPI number
1073586319
Active
Practice location
115 S Pine St
Canyonville, OR 97417-9648
Fax (541) 839-4983
Mailing address
PO Box 888, 115 S Pine Street
Canyonville, OR 97417-0888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00791 (OR) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Canyonville
About NPI 1073586319
Jon Douglas Gambill, PA-C's National Provider Identifier is 1073586319, issued on Feb 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Canyonville, OR. The record was last updated on Jan 20, 2016.