Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rogue Medical LLC

Organization Medical Physician Assistant · NPI 1265298400

Rogue Medical LLC is a Medical Physician Assistant in Phoenix, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 N Phoenix Rd Ste 430
Phoenix, OR 97535-9108
Phone: (541) 778-4517
Fax: (541) 833-0995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1265298400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Johnson — Owner · (541) 778-4517
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address205 N Phoenix Rd, Phoenix, OR 97535-9101