person
Kent Michael Sandquist, PA
Medical Physician Assistant in Ontario, Oregon
NPI 1407918501

Kent Michael Sandquist is a Medical Physician Assistant based in Ontario, OR and is specialized in Medical. Kent Michael Sandquist practices in Ontario, OR and has the professional credentials of PA. The NPI Number for Kent Michael Sandquist is 1407918501 and holds a License No. PA01105 (Oregon).

The current practice location address for Kent Michael Sandquist is 335 Sw 13Th St, Ontario, OR and can be reached out via phone at 541-889-8410 and via fax at 541-889-8093. You can also correspond with Kent Michael Sandquist through the mailing address at 335 SW 13TH ST, ONTARIO, OR - 97914-4547 (mailing address contact number: 541-889-8410).

Location: 335 Sw 13Th St, Ontario, OR, 97914-4547
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Provider Profile Details
NPI Number
1407918501
Provider Name
Kent Michael Sandquist
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
335 Sw 13Th St, Ontario, OR, 97914-4547
Phone Number
541-889-8410
Fax Number
541-889-8093
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500636562 05 OR
PA01105 01 OR LICENSE
institution
Provider Business Practice Location Address Details
Address
335 Sw 13Th St
City
State
Zip
97914-4547
Phone Number
541-889-8410
Fax Number
541-889-8093
person
Provider Business Mailing Address Details
Address
335 Sw 13Th St
City
State
Zip
97914-4547
Phone Number
541-889-8410
Fax Number
541-889-8093
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01105 (Oregon)
Definition
Definition to come...
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