Individual
JARED R FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2200 BRYANT WILLIAMS DR, SUITE 1, KLAMATH FALLS, OR 97601-1120
(541) 884-7746
(541) 274-5705
Mailing address
2200 BRYANT WILLIAMS DR, SUITE 1, KLAMATH FALLS, OR 97601-1120
(541) 884-7746
(541) 274-5705
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA169676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679872
—
OR
Enumeration date
11/11/2014
Last updated
06/19/2024
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