Individual provider · Type 1 NPI

Revaz Boukia, PA-C

Physician Assistant · Ashland, OR

NPI number 1144638859 Active

Practice location

280 Maple St
Ashland, OR 97520-1552

Call (541) 201-4000 Map

Fax (541) 488-7437

Mailing address

2825 E Barnett Rd, Mss
Medford, OR 97504-8332

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA228829 (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 1144638859

Revaz Boukia, PA-C's National Provider Identifier is 1144638859, issued on Jul 25, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ashland, OR. The record was last updated on May 6, 2026.