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

Mr. Kery Robert White, PA-C

Individual provider Physician Assistant · NPI 1669957759

Mr. Kery Robert White, PA-C is a Physician Assistant in Eugene, Oregon. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
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

1800 Coburg Rd
Eugene, OR 97401-4995
Phone: (541) 640-7625
Fax: (541) 345-8763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA190936 (OR)

Record details

NPI number1669957759
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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