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

Jacob Stuart Grange, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508200833

Jacob Stuart Grange, MD is a Pathology in Medford, Oregon. Graduated from University of Texas Southwestern Medical School at Dallas in 2013, 13 years ago. Practices with Vista Pathology Laboratory LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Virginia.

Years since qualifying
13
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
OR, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1032 E Jackson St
Medford, OR 97504
Phone: (541) 770-4559
Fax: (541) 770-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 982-1018

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD186209 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116026086 (VA)

Record details

NPI number1508200833
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2013
Last updated in NPPESJune 19, 2018
Mailing address1032 E Jackson St, Medford, OR 97504-7027

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2013 (13 years in practice)
Group practice Vista Pathology Laboratory Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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