Individual provider · Type 1 NPI
Kristofer R. McAllister, PA-C
Medical Physician Assistant · Gresham, OR
NPI number
1972567725
Active
Practice location
831 NW Council Dr Ste 145
Gresham, OR 97030-3795
Fax (503) 666-6745
Mailing address
1815 E 19th St Ste B
The Dalles, OR 97058-3385
Other practice locations
- 1815 E 19th St Ste B, The Dalles, OR 97058-3385 · (541) 316-6575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA01078 (OR) |
Medical Physician Assistant: Definition to come...
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About NPI 1972567725
Kristofer R. McAllister, PA-C's National Provider Identifier is 1972567725, issued on Apr 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gresham, OR. The record was last updated on Feb 22, 2022.