Individual provider · Type 1 NPI

Kristen Diane Perry, PA-C

Medical Physician Assistant · Clackamas, OR

NPI number 1477678100 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 571-3635 Map

Fax (503) 571-2666

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00297 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1477678100

Kristen Diane Perry, PA-C's National Provider Identifier is 1477678100, issued on Mar 20, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.