Individual provider · Type 1 NPI

Cullen Anthony Mack, PA-C

Physician Assistant · Central Point, OR

NPI number 1104369099 Active

Practice location

870 S Front St Ste 200
Central Point, OR 97502-2779

Call (541) 732-8120 Map

Mailing address

PO Box 31001
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA180563 (OR)

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 1104369099

Cullen Anthony Mack, PA-C's National Provider Identifier is 1104369099, issued on Nov 23, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Central Point, OR. The record was last updated on Aug 20, 2026.