Individual provider · Type 1 NPI
Kent Michael Sandquist, PA
Medical Physician Assistant · Ontario, OR
NPI number
1407918501
Active
Practice location
335 SW 13th St
Ontario, OR 97914-4547
Fax (541) 889-8093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA01105 (OR) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Ontario
About NPI 1407918501
Kent Michael Sandquist, PA's National Provider Identifier is 1407918501, issued on Dec 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ontario, OR. The record was last updated on Jan 13, 2015.