Riley Hackley, PA-C

NPI #1922825009 in Lebanon, Oregon

Provider Information

NPI Number: 1922825009
Entity Type: Individual
Name: Riley Hackley, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 20, 2024
Last Updated: Nov 25, 2024

Practice Location

Address: 425 N SANTIAM HWY
City: Lebanon
State: Oregon
ZIP Code: 97355-4361
Phone: (541) 451-6960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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