Provider Demographics
NPI:1720708886
Name:LITSTER, ADAM ROBERT (PA-C)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:ROBERT
Last Name:LITSTER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-0410
Mailing Address - Country:US
Mailing Address - Phone:877-708-1119
Mailing Address - Fax:541-278-8349
Practice Address - Street 1:330 S GARDEN WAY STE 270
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8185
Practice Address - Country:US
Practice Address - Phone:971-478-1842
Practice Address - Fax:458-325-0061
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2025-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMPA2022-0085363A00000X
ORPA226552363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant