Individual
REVAZ BOUKIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4000
(541) 488-7437
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228829
OR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
05/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us