Individual provider · Type 1 NPI

Kimberly Edmonds, PA-C

Physician Assistant · Stayton, OR

NPI number 1760104855 Active

Practice location

1401 N 10th Ave Ste 100
Stayton, OR 97383-1486

Fax (503) 769-5647

Mailing address

4777 Whitman Cir NE
Salem, OR 97305-3600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA218013 (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 1760104855

Kimberly Edmonds, PA-C's National Provider Identifier is 1760104855, issued on Sep 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stayton, OR. The record was last updated on Jan 26, 2024.