Kimberly L. Waller, PA-C
Physician Assistant · Grants Pass, OR
UnclaimedPA-CNPI 1093782914
- Primary taxonomy
- 363A00000X
- Enumerated
- 2006-03-01
- Practice location
- Grants Pass, OR
- Last NPPES update
- 2019-10-28
State licenses
- NV · Physician assistant · NPPES self-reportedListed on NPI record
- OR · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.