| 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 | |
Mrs. Leeann Cheryl Osborne, P.A.C. 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 | |
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 |