Roopa Mukund, PA-C
Physician Assistant, Medical in Cottage Grove, OR. Individual provider (NPI-1).
NPI number1982172946
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1982172946
- Entity type
- Individual (NPI-1)
- Name
- Roopa Mukund
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2018
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA216572 | OR | Yes |
| 363A00000X | Physician Assistant | C0009349 | MD | |
| 363AM0700X | Physician Assistant, Medical | PA13220 | TX | |
| 363A00000X | Physician Assistant | 56233 | CA | |
| 363A00000X | Physician Assistant | 0110009790 | VA | |
| 363AM0700X | Physician Assistant, Medical | 56233 | CA |
Practice location
1445 Gateway BlvdCottage Grove, OR 97424-1224
Phone 541-942-7000 · Fax 541-942-7429
Mailing address
751 Chateaus DrCoppell, TX 75019-4591
Phone 972-896-4790
Other practice locations
12581 Milstead Way Ste 103
Woodbridge, VA 22192-5446
Woodbridge, VA 22192-5446
Phone 703-897-5890
101 N East Plz
North East, MD 21901-3633
North East, MD 21901-3633
Phone 410-656-7867 · Fax 443-877-6784
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Cottage Grove, OR
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.