Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Cullen Anthony Mack, P.A.
Physician Assistant in Medford, OR · enumerated 2016.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104369099
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Registry record
Entity type Individual (Type 1)
Name Mr. Cullen Anthony Mack
Credential P.A.
Sex Male
Practice address 235 E Barnett Rd, Suite 106, Medford, OR, 97501
Phone (541) 773-4029
Enumeration date Nov 23, 2016
Last updated in NPPES Mar 7, 2023
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 180563 (OR) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA180563 | Other | - | MEDICAL LICENSE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Cullen Mack practice?
The practice location on file with NPPES is in Medford, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Cullen Mack?
The National Provider Identifier (NPI) for Cullen Mack is 1104369099, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.