Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eve Marie Traill, PA-C

Individual provider Physician Assistant · NPI 1356331060

Eve Marie Traill, PA-C is a Physician Assistant in Roseburg, Oregon. Qualified in 2003, 23 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Oregon.

Years since qualifying
23
Licensed in
AZ, OR
In the registry since
2005
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

1700 NW Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636
Phone: (541) 464-0788
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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 PA162456 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 3180 (AZ)

Record details

NPI number1356331060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Nisha Jackson Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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