Mauer, Kristin Kathleen

Mauer, Kristin Kathleen is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 235, Tualatin OR 97062-7452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mauer, Kristin Kathleen can be contacted via phone (503) 692-4820.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 235 Tualatin OR 97062-7452
Phone: (503) 692-4820
Fax: (503) 612-0793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011967 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA150681 Oregon

Profile Details

NPI number 1568650828
LBN Legal business name Mauer, Kristin Kathleen
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Aug 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568650828 NPPES
Oregon MEDICAID 500602008

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