Individual provider · Type 1 NPI

Jordon Gabriel Derowitsch, PA-C

Surgical Physician Assistant · Salem, OR

NPI number 1942016613 Active

Practice location

1600 State St
Salem, OR 97301-4257

Call (971) 218-3402 Map

Mailing address

1755 Reserve Ln S Apt 229
Salem, OR 97306-3007

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X223362 (OR)
Surgical Physician Assistant Primary 363AS0400XPA223362 (OR)

Surgical Physician Assistant: Definition to come...

51 other providers at this address

Other surgical physician assistant providers in Salem

See all in Salem →

About NPI 1942016613

Jordon Gabriel Derowitsch, PA-C's National Provider Identifier is 1942016613, issued on Dec 9, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salem, OR. The record was last updated on Aug 20, 2025.