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

Jonathan Kiser

Individual provider Medical Physician Assistant · NPI 1235866484

Jonathan Kiser is a Physician Assistant in Salem, Oregon. Qualified in 2023, 3 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2022
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Practice location Address checks out

1610 12th St SE
Salem, OR 97302-2821
Phone: (801) 837-6395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA218086 (OR)

Record details

NPI number1235866484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2022
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address1610 12th St Se, Salem, OR 97302-2821

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salem