Individual provider · Type 1 NPI

Kimberly L. Waller, PA-C

Physician Assistant · Grants Pass, OR

NPI number 1093782914 Active

Practice location

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA842 (NV)
Physician Assistant Primary 363A00000XPA01142 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093782914

Kimberly L. Waller, PA-C's National Provider Identifier is 1093782914, issued on Mar 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 28, 2019.