Individual
ABBY DANIELLE POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Mailing address
821 SUNSET BEACH RD, KLAMATH FALLS, OR 97601-9428
(956) 266-6414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA222481
OR
Other
Enumeration date
09/16/2024
Last updated
09/18/2025
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