Mrs. Kimberly L Waller, PA-C
Mrs. Kimberly L Waller, PA-C is a Physician Assistant in Grants Pass, Oregon. Qualified in 1997, 29 years ago. Practices with Siskiyou Community Health Center Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Nevada and Oregon.
- Years since qualifying
- 29
- Licensed in
- NV, OR
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1701 NW Hawthorne AveGrants Pass, OR 97526-1051
Phone: (541) 471-3455
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA01142 (OR) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA842 (NV) |
Record details
| NPI number | 1093782914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 1, 2006 |
| Last updated in NPPES | October 28, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Siskiyou Community Health Center Inc — 31 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Grants Pass
-
Ragna C. Rostad-Ruffner, PA
1890 NW 6th St, Grants Pass, OR 97526-1038 · (541) 507-0684
-
Mr. Michael Swartz, PA
702 SW Ramsey Ave Ste 112, Grants Pass, OR 97527-5859 · (541) 472-0603
-
Mr. Scott Swindells, PA-C
1701 NW Hawthorne Ave Ste 201, Grants Pass, OR 97526 · (541) 471-3455
-
Mr. Bruce K Towers, PAC, MPAS, BBA
1701 NW Hawthorne Ave Ste 201, Grants Pass, OR 97526 · (541) 471-3455