Individual provider · Type 1 NPI

Shelby Joy Sackett, PA-C

Surgical Physician Assistant · Medford, OR

NPI number 1558092759 Active

Practice location

1698 E Mcandrews Rd Ste 400
Medford, OR 97504-5590

Call (541) 732-7874 Map

Mailing address

PO Box 31001
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA218037 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1558092759

Shelby Joy Sackett, PA-C's National Provider Identifier is 1558092759, issued on Jun 20, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Medford, OR. The record was last updated on Aug 20, 2026.