KIMBERLY WALLER, PA-C

PA-C

Physician Assistant

NPI: 1093782914IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

PA842(NV)

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA01142(OR)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1997

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Contact & Hours

Address: 1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Phone: (541) 471-3455

Quick Facts

NPI: 1093782914
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 29

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