Individual
KRISTEN SIERRA PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C MSPAS
Contact information
Practice address
11675 SW PACIFIC HWY, TIGARD, OR 97223-8672
(503) 305-6262
Mailing address
11675 SW PACIFIC HWY, TIGARD, OR 97223-8672
(503) 305-6262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2507
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
06/05/2023
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