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

Jacob Watters

Individual provider Physician Assistant · NPI 1609480359

Jacob Watters is a Physician Assistant in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone: (541) 673-0611
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA201167 (OR)

Record details

NPI number1609480359
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address2971 Interstate Ave, Arco, ID 83213-8705

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