Individual
KATHRYN MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
230 ROWE ST, WHEELER, OR 97147
(503) 368-5182
(503) 368-5590
Mailing address
PO BOX 176, 230 ROWE ST, WHEELER, OR 97147-0176
(503) 368-5182
(503) 368-5590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA150437
OR
Other
Enumeration date
05/28/2009
Last updated
11/20/2009
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