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

Kadin Gabriel Wiley

Individual provider Physician Assistant · NPI 1245853373

Kadin Gabriel Wiley is a Physician Assistant in Medford, Oregon. Qualified in 2022, 4 years ago. Practices with La Clinica Del Valle Family Health Care Center Inc, a 61-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
4
Licensed in
AZ, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

638 Market St
Medford, OR 97504-6126
Phone: (541) 535-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA211370 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 10701 (AZ)

Record details

NPI number1245853373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address931 Chevy Way, Medford, OR 97504-4127

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice La Clinica Del Valle Family Health Care Center Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford