Mr Scott Matthew Light, PA-C | |
1251 Ne Elm St, Suite 1a, Prineville, OR 97754-1206 | |
(541) 447-1680 | |
(541) 447-4670 |
Full Name | Mr Scott Matthew Light |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 1251 Ne Elm St, Prineville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679653745 | NPI | - | NPPES |
PA01153 | Other | OR | OREGON STATE LICENSE |
213187 | Medicaid | OR | |
PA10005254 | Other | WA | WA LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA01153 (Oregon) | Secondary |
363AM0700X | Physician Assistant - Medical | PA10005254 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Scott Matthew Light, PA-C 838 Essex Ave, Aberdeen, WA 98520-2718 Ph: (503) 730-6719 | Mr Scott Matthew Light, PA-C 1251 Ne Elm St, Suite 1a, Prineville, OR 97754-1206 Ph: (541) 447-1680 |
Shannon K Brasher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 | |
Brandon W Brasher, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-8750 Fax: 541-447-8428 | |
Leeann Cheryl Osborne, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Nw Beaver St, Suite 101, Prineville, OR 97754 Phone: 541-447-1680 Fax: 541-447-4670 | |
Connor James Richardson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 | |
Mr. Kenneth D Long, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm St, Prineville, OR 97754 Phone: 541-447-1680 Fax: 541-447-4670 |