IndividualActive
Christopher Bouffard, PA-C
NPI 1073268561 · Surgical Physician Assistant · Medford, OR
Provider details
- NPI number
- 1073268561
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA209384 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1698 E Mcandrews Rd Ste 160
Medford, OR 97504-5590
Phone: (541) 732-7874
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.