Healthcare Provider Details

I. General information

NPI: 1497281844
Provider Name (Legal Business Name): JAMIE L HIGHT PAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 LONG ROAD UMO
ORONO ME
04469-0001
US

IV. Provider business mailing address

5721 CUTLER HEALTH CTR
ORONO ME
04469-5721
US

V. Phone/Fax

Practice location:
  • Phone: 207-581-4000
  • Fax:
Mailing address:
  • Phone: 207-581-4000
  • Fax: 207-581-9512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1693
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: