Individual provider · Type 1 NPI

Grace Lake

Physician Assistant · Newport, OR

NPI number 1124752233 Active

Practice location

930 SW Abbey St
Newport, OR 97365-4820

Call (541) 265-2244 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA221993 (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 1124752233

Grace Lake's National Provider Identifier is 1124752233, issued on Jul 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newport, OR. The record was last updated on Nov 8, 2024.