Individual
JACOB WILLIAM BUFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 776-2892
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
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
02/21/2023
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