Josiah Jackson Dick, PA
Josiah Jackson Dick, PA is a Physician Assistant in Springfield, Oregon. Qualified in 2022, 4 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 4
- Licensed in
- OR
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
Springfield, ORNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA209411 (OR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699366740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2021 |
| Last updated in NPPES | April 21, 2023 |
| Certification date | April 21, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Icco Llc — 133 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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Sebastian Brunning
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Miss. Talesa Marie Chartrand, PHD, STUDENTDOCTOR
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Madison Paige Collins, BSN, RN, CEN
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Dr. Christine Anabelle Ellis, MD
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Dr. Jaime Erin Fair, MD
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Lior Feldman, MD
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Peter Fox, DO
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