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

Gavin John Bush, PA-C

Individual provider Physician Assistant · NPI 1346670957

Gavin John Bush, PA-C is a Physician Assistant in Missoula, Montana. Qualified in 2013, 13 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Montana and Oregon.

Years since qualifying
13
Licensed in
MT, OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
Show map & directions

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

Additional practice locations (2)

  • 5050 Ne Hoyt St Ste 511, Portland, OR 97213-2984 — (503) 962-1020
  • 2400 Hartman Ln, Springfield, OR 97477-1118 — (541) 334-3350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-144296 (MT)
Physician Assistant Taxonomy 363A00000X · Licence PA164984 (OR)

Record details

NPI number1346670957
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2013
Last updated in NPPESApril 20, 2025
Certification dateApril 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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