Individual
JACOB GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(458) 658-5930
(541) 414-1123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
04/09/2026
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