Individual provider · Type 1 NPI

Carly Mauch, PA-C

Physician Assistant · Roseburg, OR

NPI number 1679758700 Active

Practice location

1813 W Harvard Ave, Suite #310
Roseburg, OR 97471-2752

Mailing address

2423 NW Troost St
Roseburg, OR 97471-1706

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA01409 (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 1679758700

Carly Mauch, PA-C's National Provider Identifier is 1679758700, issued on Jan 8, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roseburg, OR. The record was last updated on Nov 29, 2017.