KENT MICHAEL SANDQUIST

ONTARIO, OR
NPI1407918501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA01105)
Enumeration Date2006-12-14
Last Update Date2015-01-13
Business Address
-- KENT MICHAEL SANDQUIST PA
335 SW 13TH ST
ONTARIO, OR 97914-4547
Phone number: 541-889-8410
Mailing Address
-- KENT MICHAEL SANDQUIST PA
335 SW 13TH ST
ONTARIO, OR 97914-4547
Phone number: 541-889-8410