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Michelle Renae-pippel Keller, PA-C
Surgical Physician Assistant in Corvallis, Oregon
NPI 1154763050

Michelle Renae-pippel Keller is a Surgical Physician Assistant based in Corvallis, OR and is specialized in Surgical. Michelle Renae-pippel Keller practices in Corvallis, OR and has the professional credentials of PA-C. The NPI Number for Michelle Renae-pippel Keller is 1154763050 and holds a License No. (Oregon).

The current practice location address for Michelle Renae-pippel Keller is 3615 Nw Samaritan Dr, Corvallis, OR and can be reached out via phone at 541-768-4501. You can also correspond with Michelle Renae-pippel Keller through the mailing address at PO BOX 1189, CORVALLIS, OR - 97339-1189 (mailing address contact number: ).

Location: 3615 Nw Samaritan Dr, Corvallis, OR, 97339-1189
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Provider Profile Details
NPI Number
1154763050
Provider Name
Michelle Renae-pippel Keller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3615 Nw Samaritan Dr, Corvallis, OR, 97339-1189
Phone Number
541-768-4501
Fax Number
Provider Enumeration Date
07/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206147 01 IL MEDICARE PTAN (GROUP)
F400173350 01 IL MEDICARE PTAN (INDIVIDUAL)
institution
Provider Business Practice Location Address Details
Address
3615 Nw Samaritan Dr
City
State
Zip
97330-3783
Phone Number
541-768-4501
Fax Number
person
Provider Business Mailing Address Details
Address
3615 Nw Samaritan Dr
City
State
Zip
97330-3783
Phone Number
541-768-4501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
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Definition
Definition to come...
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