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Kimberly Waller, PA-C
NPI 1093782914 · on the registry since 2006
Practice
- Address
- 1701 Nw Hawthorne Ave
Grants Pass, OR 97526 - Phone
- (541) 471-3455
- Organisation at this address
- Siskiyou Community Health Center
Siskiyou Community Health Center Inc
Siskiyou Community Health Center Inc
Siskiyou Community Health Center, Inc
Siskiyou Community Health Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- NV, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon