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Katie Diana Mallaburn (PA-C)

Mrs. Katie Diana Mallaburn (PA-C) is a health care provider specializes in Physician Assistant.

profile-icon Basic Information

Practice Location 410 Main St, Nyssa, OR 97913-3973, US
Practice Location Phone541-372-2211
Practice Location Fax
GenderFemale
Specialty InPhysician Assistant
NPI ?1306964994
Entity TypeIndividual
Enumeration Date ? Mar 26, 2007
Last Update Date ? Oct 3, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Katie Diana Mallaburn

SpecialtySpecializationLicenseLicense State
Emergency Medical Technician, Paramedic 21614Idaho
Physician AssistantMedical Oregon
Nurse's Aide 00048770602Idaho
Student in an Organized Health Care Education/Training Program