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

Ethan Pace

Individual provider Hematology & Oncology Physician · NPI 1508421751

Ethan Pace is a Physician Assistant in Medford, Oregon. Qualified in 2020, 6 years ago. Practices with Asante, a 135-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3011 E Barnett Rd
Medford, OR 97504
Phone: (541) 789-4673
Fax: (541) 789-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 Sw Ramsey Ave, Grants Pass, OR 97527-5554 — (541) 789-4673

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence PA197772 (OR)

Record details

NPI number1508421751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2019
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 13, 2022
Mailing addressPo Box 4749, Medford, OR 97501-0227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Asante — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Medford