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

Mitchell Wilson, PA-C

Individual provider Physician Assistant · NPI 1174030662

Mitchell Wilson, PA-C is a Physician Assistant in Eugene, Oregon. Qualified in 2017, 9 years ago. Practices with Slocum Orthopedics PC, a 66-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2018
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

55 Coburg Rd
Eugene, OR 97401-2433
Phone: (541) 485-8111
Fax: (541) 342-6379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Laurel St Ste A, Des Moines, IA 50314-3045 — (515) 699-8378

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174030662
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2018
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address55 Coburg Rd, Eugene, OR 97401-2433

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Slocum Orthopedics Pc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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