Kallie Waldrip

NPI #1104283043 in Corvallis, Oregon

Provider Information

NPI Number: 1104283043
Entity Type: Individual
Name: Kallie Waldrip
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 22, 2016
Last Updated: Jan 22, 2016

Practice Location

Address: 530 NW 27TH ST
City: Corvallis
State: Oregon
ZIP Code: 97330-5223
Phone: (541) 766-6835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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