Individual provider · Type 1 NPI

Stephanie Renee Tucker

Medical Physician Assistant · Klamath Falls, OR

NPI number 1336960368 Active

Practice location

725 Washburn Way
Klamath Falls, OR 97603-3648

Call (541) 883-1030 Map

Mailing address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1336960368

Stephanie Renee Tucker's National Provider Identifier is 1336960368, issued on Oct 22, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Klamath Falls, OR. The record was last updated on Oct 22, 2024.