Individual
PAULA SKYE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
388 SW BLUFF DR, BEND, OR 97702-1360
(541) 678-0020
(541) 323-2174
Mailing address
388 SW BLUFF DR, BEND, OR 97702-1360
(541) 678-0020
(541) 323-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012966-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03120376
—
NY
Enumeration date
03/24/2009
Last updated
12/05/2025
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