Individual
DEAN KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
920 SW RANGE DRIVE, WALDPORT, OR 97394-3035
(541) 563-3197
(541) 563-6027
Mailing address
920 SW RANGE DRIVE, WALDPORT, OR 97394-3035
(541) 563-3197
(541) 563-6027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01051
OR
363AM0700X
Medical Physician Assistant
PA10003541
WA
Other
Enumeration date
08/31/2006
Last updated
02/03/2016
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