Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordon Gabriel Derowitsch, PA-C

Individual provider Physician Assistant · NPI 1942016613

Jordon Gabriel Derowitsch, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2004, 22 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1600 State St
Salem, OR 97301-4257
Phone: (971) 218-3402
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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 PA223362 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 223362 (OR)

Record details

NPI number1942016613
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address1755 Reserve Ln S Apt 229, Salem, OR 97306-3007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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