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

Amicia Bullard, PA-C

Individual provider Medical Physician Assistant · NPI 1568549723

Amicia Bullard, PA-C is a Medical Physician Assistant in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

777 Murphy Rd
Medford, OR 97504-8425
Phone: (541) 772-2763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00783 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA00783 (OR)

Record details

NPI number1568549723
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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