Organization
KLAMATH PHYSICIAN ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WINEBARGER PA-C (MEMBER)
(541) 885-5546
Entity
Organization
Contact information
Practice address
4636 SJODIN LN, KLAMATH FALLS, OR 97603-6899
(541) 885-5546
(541) 885-5546
Mailing address
4636 SJODIN LN, KLAMATH FALLS, OR 97603-6899
(541) 885-5546
(541) 885-5546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-00709
OR
Other
Enumeration date
07/16/2008
Last updated
08/13/2008
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