IndividualActive
Brittany Mack, PA-C
NPI 1780032722 · Physician Assistant · Medford, OR
Provider details
- NPI number
- 1780032722
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA180587 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2825 East Barnett Rd.
Medford, OR 97504-8332
Phone: (541) 789-7000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4749
Medford, OR 97501-0227
Registry dates
- Enumerated
- 2016-06-01
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.