MRS. KIMBERLY WALLER, PA-C

Physician Assistant

Active Individual
NPI: 1093782914

Practice Address

1701 NW HAWTHORNE AVE
Grants Pass, OR 97526

Phone: (541) 471-3455

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No PA842 (NV)
Physician Assistant 363A00000X Yes PA01142 (OR)

Frequently Asked Questions

NPI 1093782914 is the National Provider Identifier for MRS. KIMBERLY WALLER, PA-C, a Physician Assistant provider located in Grants Pass, OR. This NPI was enumerated on March 1, 2006.
MRS. KIMBERLY WALLER, PA-C practices at 1701 NW HAWTHORNE AVE, Grants Pass, OR 97526.

Quick Facts

NPI
1093782914
Type
Individual
Enumerated
Mar 1, 2006
Last Updated
Oct 28, 2019

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