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Kristine Jost Windom, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1841282357

Kristine Jost Windom is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Kristine Jost Windom practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Kristine Jost Windom is 1841282357 and holds a License No. PA00978 (Oregon).

The current practice location address for Kristine Jost Windom is 9155 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-297-3766 and via fax at 503-297-8148. You can also correspond with Kristine Jost Windom through the mailing address at 975 SE SANDY BLVD, PORTLAND, OR - 97214-1308 (mailing address contact number: 503-236-0775).

Location: 9155 Sw Barnes Rd, Portland, OR, 97214-1308
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Provider Profile Details
NPI Number
1841282357
Provider Name
Kristine Jost Windom
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
9155 Sw Barnes Rd, Portland, OR, 97214-1308
Phone Number
503-297-3766
Fax Number
503-297-8148
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500602008 05 OR
institution
Provider Business Practice Location Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-297-3766
Fax Number
503-297-8148
person
Provider Business Mailing Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-297-3766
Fax Number
503-297-8148
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00978 (Oregon)
Definition
Definition to come...
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