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Jared R Frost, PA

Physician Assistant, Surgical in Klamath Falls, OR. Individual provider (NPI-1).

NPI number1982000436
StatusActive
Last updated in NPPESJun 19, 2024

Details

NPI
1982000436
Entity type
Individual (NPI-1)
Name
Jared R Frost
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Nov 11, 2014
Certification date
Jun 19, 2024
Last updated
Jun 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalPA169676ORYes

Practice location

2200 Bryant Williams Dr
Suite 1
Klamath Falls, OR 97601-1120

Phone 541-884-7746 · Fax 541-274-5705

Mailing address

2200 Bryant Williams Dr
Suite 1
Klamath Falls, OR 97601-1120

Phone 541-884-7746 · Fax 541-274-5705

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