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Ms. Kathleen Gordon Wall, PA-C
Medical Physician Assistant in Vancouver, Washington
NPI 1649384165

Kathleen Gordon Wall is a Medical Physician Assistant based in Portland, WA and is specialized in Medical. Kathleen Gordon Wall practices in Vancouver, WA and has the professional credentials of PA-C. The NPI Number for Kathleen Gordon Wall is 1649384165 and holds a License No. PA10003853 (Washington).

The current practice location address for Kathleen Gordon Wall is 12607 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-418-6001. You can also correspond with Kathleen Gordon Wall through the mailing address at 5924 NE 25TH AVE, PORTLAND, OR - 97211-6132 (mailing address contact number: 503-493-0546).

Location: 12607 Se Mill Plain Blvd, Vancouver, WA, 97211-6132
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Provider Profile Details
NPI Number
1649384165
Provider Name
Kathleen Gordon Wall
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
12607 Se Mill Plain Blvd, Vancouver, WA, 97211-6132
Phone Number
360-418-6001
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12607 Se Mill Plain Blvd
City
State
Zip
98684-6055
Phone Number
360-418-6001
Fax Number
person
Provider Business Mailing Address Details
Address
12607 Se Mill Plain Blvd
City
State
Zip
98684-6055
Phone Number
360-418-6001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10003853 (Washington)
Definition
Definition to come...
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