Lookup NPI Numbers from the NPI Registry
NPI Profile for KACEY L ANDREASEN in ONTARIO, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1215160510 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 09/02/2009 | |
| Last updated | 06/23/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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KACEY L ANDREASEN
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KACEY L ANDREASEN, PA-C