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

Revaz Boukia, PA-C

Individual provider Physician Assistant · NPI 1144638859

Revaz Boukia, PA-C is a Physician Assistant in Ashland, Oregon. Qualified in 2014, 12 years ago. Practices with Edwards Bell MD PC, a 6-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

280 Maple St
Ashland, OR 97520-1552
Phone: (541) 201-4000
Fax: (541) 488-7437
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA228829 (OR)

Record details

NPI number1144638859
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 25, 2014
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address2825 E Barnett Rd, Mss, Medford, OR 97504-8332

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Edwards Bell Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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