Individual provider · Type 1 NPI

Kylie Maran Fonteno, PA-C

Physician Assistant · Salem, OR

NPI number 1225269459 Active

Practice location

1233 Edgewater St NW
Salem, OR 97304-4049

Call (503) 378-7526 Map

Fax (503) 585-4278

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA130055 (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 1225269459

Kylie Maran Fonteno, PA-C's National Provider Identifier is 1225269459, issued on Aug 5, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salem, OR. The record was last updated on Aug 11, 2009.