MICHELINE CAVALLACCI, PA-C

Physician Assistant

Active Individual
NPI: 1235113994

Practice Address

1600 DELTA WATERS RD
SUITE 107
Medford, OR 97504

Phone: (541) 858-2515

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No PA2939 (FL)
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1235113994 is the National Provider Identifier for MICHELINE CAVALLACCI, PA-C, a Physician Assistant provider located in Medford, OR. This NPI was enumerated on December 5, 2005.
MICHELINE CAVALLACCI, PA-C practices at 1600 DELTA WATERS RD, SUITE 107, Medford, OR 97504.

Quick Facts

NPI
1235113994
Type
Individual
Enumerated
Dec 5, 2005
Last Updated
Mar 7, 2023

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