Active NPI
Austin Ebner
- Physician Assistant
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA222378
- Practice address
- 1841 E Barnett Rd
Medford, OR 97504-8249 - Phone
- (541) 216-7291
- Fax
- (541) 636-2163
- NPI assigned
- Jul 13, 2020
- Last updated
- May 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61128002 | WA | |
| Physician Assistant | 363A00000X | PA222378 | OR | Primary |
Addresses
Primary practice location
1841 E Barnett Rd
Medford, OR 97504-8249
Mailing address
6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Phone (509) 543-9280
Other practice location 1
6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Phone (509) 543-9280
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aebner35234@yvfwc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 George Washington Way
Richland, WA 99352-3411
Phone (509) 946-1695
1516 Jadwin Ave
Richland, WA 99354-2902
Phone (509) 946-1695
1841 E Barnett Rd
Medford, OR 97504-8249
Phone (541) 216-7291
3601 Plaza Way
Kennewick, WA 99338-2716
Phone (509) 236-0391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA222378 | OR | MD | Physician Assistant |
| PA61128002 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Icco LLC | Past | Accepting new patients | |
| Icco, LLC | Past | Accepting new patients |
Locations
6351 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 543-9280
713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931
1120 W Rose St
Walla Walla, WA 99362
Phone (509) 525-6650
Interoperability endpoints
- aebner35234@yvfwc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BestMed
- Family Medicine Physician
- Richland, WA
- NPI 1821002510
-
dba Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
dba Community Health Center of Clatskanie
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
-
dba Valley Vista Medical Group
- Federally Qualified Health Center (FQHC)
- Prosser, WA
- NPI 1891821013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1831717156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6351 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367634",
"telephone_number": "509-543-9280",
"fax_number": "509-579-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048249",
"telephone_number": "541-216-7291",
"fax_number": "541-636-2163"
}
],
"practiceLocations": [
{
"address_1": "6351 W Rio Grande Ave",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993367634",
"country_code": "US",
"telephone_number": "509-543-9280",
"fax_number": "509-579-5915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBNER",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-13",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61128002",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA222378",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aebner35234@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6351 W Rio Grande Ave",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993367634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, OR
- Earl H. Parrish, M.D., P.C.
- East Main Dental Center, LLP
- Easton & Bates Family Practice
- Mark Adalbert Eaton, M.D.
- Brooke Eberle
- Elizabeth Lacey Echalier, M.D.
- Lizabeth M. Eckerd, PH.D.
- Robert Walter Eckert, MD
- Eclectic Behavioral Health Solutions LLC (Restoring Essential Connections)
- Jessica Eddington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.