Individual
JACOB WILLIAM BUFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 476-2373
(541) 479-3514
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 473-2373
(541) 479-3514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213864
OR
363AM0700X
Medical Physician Assistant
—
MT
Other
Enumeration date
09/22/2022
Last updated
07/20/2026
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