Individual
JASON W GORSEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
870 S FRONT ST STE 200, CENTRAL POINT, OR 97502-2779
(541) 732-8000
Mailing address
870 S FRONT ST STE 200, CENTRAL POINT, OR 97502-2779
(406) 552-2582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
78954
MT
363A00000X
Physician Assistant
Primary
PA198202
OR
Other
Enumeration date
08/27/2018
Last updated
03/09/2020
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