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Mrs. Kimberly L Waller, PA-C
Physician Assistant in Grants Pass, Oregon
NPI 1093782914

Kimberly L Waller is a Physician Assistant based in Grants Pass, OR. Kimberly L Waller practices in Grants Pass, OR and has the professional credentials of PA-C. The NPI Number for Kimberly L Waller is 1093782914 and holds a License No. PA842 (Oregon).

The current practice location address for Kimberly L Waller is 1701 Nw Hawthorne Ave, Grants Pass, OR and can be reached out via phone at 541-471-3455.

Location: 1701 Nw Hawthorne Ave, Grants Pass, OR, 97526-1051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093782914
Provider Name
Kimberly L Waller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1701 Nw Hawthorne Ave, Grants Pass, OR, 97526-1051
Phone Number
541-471-3455
Fax Number
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100503581 05 NV
100503226 05 NV
institution
Provider Business Practice Location Address Details
Address
1701 Nw Hawthorne Ave
City
Grants Pass
State
Oregon
Zip
97526-1051
Phone Number
541-471-3455
Fax Number
person
Provider Business Mailing Address Details
Address
1701 Nw Hawthorne Ave
City
Grants Pass
State
Oregon
Zip
97526-1051
Phone Number
541-471-3455
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA01142 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA842 (Nevada)
Definition
Definition to come...
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