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

John Nicholas Jurgensen

Individual provider Physician Assistant · NPI 1679035489

John Nicholas Jurgensen is a Physician Assistant in Vancouver, Washington. Qualified in 2020, 6 years ago. Practices with Peacehealth, a 248-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Licensed in
OR, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone: (360) 735-8100
Fax: (360) 253-1781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 91302 N Coburg Industrial Way Ste 122, Coburg, OR 97408-9330 — (541) 500-6949
  • 3400 Main St, Vancouver, WA 98663-2223 — (360) 696-5232

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61240820 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA200542 (OR)

Record details

NPI number1679035489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address91302 N Coburg Industrial Way Ste 122, Coburg, OR 97408-9331

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vancouver