Kimberly Haupt PA

NPI 1003898149 - Physician Assistant - 363A00000X

NPI Details
NPI 1003898149
Gender Female
Enumeration Date 11/15/2005
Last Updated 07/27/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
2850 SE POWELL VALLEY RD
GRESHAM OR, 97080-1494, US
Phone (503) 666-5050
Fax (503) 666-1162
Business Location
2850 SE POWELL VALLEY RD
GRESHAM OR, 97080-1494, US
Phone (503) 666-5050
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Kimberly Haupt PA NPI is 1003898149, taxonomy code is 363A00000X Kimberly Haupt PA physically located at 2850 Se Powell Valley Rd, Gresham OR, 97080-1494. NPI Number Kimberly Haupt PA has the Individual type.

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1003898149 NPI number is provided on an as is basis without warranty of any kind. 1003898149 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Haupt PA are for informational purposes only.