Individual
JADE TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2821 DAGGETT AVE, KLAMATH FALLS, OR 97601-1129
(541) 274-8400
Mailing address
605 W OREGON AVE, KLAMATH FALLS, OR 97601-1457
(269) 491-9963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA218522
OR
Other
Enumeration date
09/05/2023
Last updated
04/01/2025
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