Individual provider · Type 1 NPI

Jason Lee Cottrell, P.A.

Physician Assistant · Pocatello, ID

NPI number 1265115547 Active

Practice location

777 Hospital Way, Suite 101
Pocatello, ID 83201-5175

Call (208) 239-3899 Map

Fax (208) 232-2195

Mailing address

P.o. Box 4168
Pocatello, ID 83205-4168

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician 183700000XCT66258 (ID)
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X9071482 (ID)

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 1265115547

Jason Lee Cottrell, P.A.'s National Provider Identifier is 1265115547, issued on Aug 11, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 27, 2025.