Individual provider · Type 1 NPI

Michelle Renae-Pippel Keller, PA-C

Surgical Physician Assistant · Corvallis, OR

NPI number 1154763050 Active

Practice location

3615 NW Samaritan Dr, Suite 210
Corvallis, OR 97330-3783

Call (541) 768-4501 Map

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400XPA173678 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1154763050

Michelle Renae-Pippel Keller, PA-C's National Provider Identifier is 1154763050, issued on Jul 22, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Corvallis, OR. The record was last updated on Jan 14, 2021.