Individual
JOEL MARTIN KASSEBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
22205 NE MOUNTAIN TOP RD, NEWBERG, OR 97132-6665
(503) 537-4559
(503) 537-5600
Mailing address
22205 NE MOUNTAIN TOP RD, NEWBERG, OR 97132-6665
(503) 537-4559
(503) 537-5600
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
097000599RN
OR
Other
Enumeration date
10/22/2007
Last updated
11/13/2013
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