KACEY L ANDREASEN

ONTARIO, OR
NPI1215160510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2009-09-02
Last Update Date2016-06-23
Business Address
Mr. KACEY L ANDREASEN PA-C
1050 SW 3RD AVE STE 1200
ONTARIO, OR 97914-4550
Phone number: 541-889-3111
Mailing Address
Mr. KACEY L ANDREASEN PA-C
2523 SOUTH 10TH AVENUE #103
CALDWELL, ID 83605
Phone number: 208-459-7788
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