Individual
JENNIFER L. KALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2911 TENNYSON AVE STE 201, EUGENE, OR 97408
(541) 844-1495
(541) 844-1492
Mailing address
2911 TENNYSON AVE STE 201, EUGENE, OR 97408-4393
(541) 844-1495
(541) 844-1492
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA176991
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019016
—
PA
Enumeration date
08/17/2006
Last updated
06/21/2018
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