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

Jeffery Kolk Herbert, PA

Individual provider Physician Assistant · NPI 1174604359

Jeffery Kolk Herbert, PA is a Physician Assistant in Medford, Oregon. Graduated from Baylor College of Medicine in 1997, 29 years ago. Practices with Oregon Surgical Specialists PC, a 21-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
29
Trained at
Baylor College of Medicine
Licensed in
OR
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

520 Medical Center Dr Ste 300
Medford, OR 97504-4334
Phone: (541) 282-6685
Fax: (541) 282-6686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00572 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA00572 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA00572 (OR)

Record details

NPI number1174604359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Oregon Surgical Specialists Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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