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

Mr. Mark Williams, PA

Individual provider Physician Assistant · NPI 1265742662

Mr. Mark Williams, PA is a Physician Assistant in Medford, Oregon. Qualified in 2010, 16 years ago. Practices with Rogue Valley Physicians, a 21-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

691 Murphy Rd Ste 107
Medford, OR 97504-8383
Phone: (541) 789-6460
Fax: (541) 789-6461
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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 PA152965 (OR)

Record details

NPI number1265742662
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address2620 East Barnett Road, Suite H, Medford, OR 97504-8383

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Rogue Valley Physicians — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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