person
Kristin Kathleen Mauer, PAC
Surgical Physician Assistant in Tualatin, Oregon
NPI 1568650828

Kristin Kathleen Mauer is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Kristin Kathleen Mauer practices in Tualatin, OR and has the professional credentials of PAC. The NPI Number for Kristin Kathleen Mauer is 1568650828 and holds a License No. 011967 (Oregon).

The current practice location address for Kristin Kathleen Mauer is 19250 Sw 65Th Ave, Tualatin, OR and can be reached out via phone at 503-692-4820 and via fax at 503-612-0793.

Location: 19250 Sw 65Th Ave, Tualatin, OR, 97232-2684
person
Provider Profile Details
NPI Number
1568650828
Provider Name
Kristin Kathleen Mauer
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
19250 Sw 65Th Ave, Tualatin, OR, 97232-2684
Phone Number
503-692-4820
Fax Number
503-612-0793
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500602008 05 OR
institution
Provider Business Practice Location Address Details
Address
19250 Sw 65Th Ave
City
State
Zip
97062-7452
Phone Number
503-692-4820
Fax Number
503-612-0793
person
Provider Business Mailing Address Details
Address
19250 Sw 65Th Ave
City
State
Zip
97062-7452
Phone Number
503-692-4820
Fax Number
503-612-0793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
011967 (New York)
Definition
Definition to come...
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